Organization Active NPI

Hedgecock Artificial Limb Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
National Provider Identifier
1336220607
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
000050 Issued in TX
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

Updated by the provider on Mar 24, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000500051OtherTXBLUE CROSS BLUE SHIELD
0861296-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.