Active NPI
Hedgecock Artificial Limb Co., Inc.
- Prosthetic/Orthotic Supplier
- Dallas, TX
National Provider Identifier
1336220607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 000050
- Legal business name
- HEDGECOCK ARTIFICIAL LIMB CO., INC.
- Practice address
- 6500 Greenville Ave
Ste 195
Dallas, TX 75206-1014 - Phone
- (214) 360-9700
- Fax
- (214) 360-9713
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ann Cicero
- Title
- Chairman of Board/President
- Phone
- (214) 360-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 000050 | TX | Primary |
Addresses
Primary practice location
6500 Greenville Ave
Ste 195
Dallas, TX 75206-1014
Mailing address
6500 Greenville Ave
Ste 195
Dallas, TX 75206-1014
Phone (214) 360-9700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000500051 | Other | TX | BLUE CROSS BLUE SHIELD |
| 0861296-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
6500 Greenville Ave
Ste 195
Dallas, TX 75206
Phone (214) 360-9700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269388800000",
"number": "1336220607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 GREENVILLE AVE",
"address_2": "STE 195",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061014",
"telephone_number": "214-360-9700",
"fax_number": "214-360-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 GREENVILLE AVE",
"address_2": "STE 195",
"city": "DALLAS",
"state": "TX",
"postal_code": "752061014",
"telephone_number": "214-360-9700",
"fax_number": "214-360-9713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEDGECOCK ARTIFICIAL LIMB CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2010-03-24",
"status": "A",
"authorized_official_last_name": "CICERO",
"authorized_official_first_name": "ANN",
"authorized_official_title_or_position": "CHAIRMAN OF BOARD/PRESIDENT",
"authorized_official_telephone_number": "214-360-9700"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "000050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000500051",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0861296-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.