Travis Richard Hedrick, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12324 Issued in NC

Practice address

1410 Plaza West Rd
Winston Salem, NC 27103-1401

Phone

(336) 765-1881

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1467022236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 PLAZA WEST RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031401",
            "telephone_number": "336-765-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PLAZA WEST RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031401",
            "telephone_number": "336-765-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "TRAVIS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlyn Duke Hedgecock, PA
• Brandi Jill Hedges-Hubert, LPC
• Christina D. Hedrick, PA-C
• David L Hedrick, M.A.
• Richard Eli Hedrick, Jr, MD
• Wendy Hedrick
• Louis F Heeden, OD
• Jeani Heffelfinger
• Ashley L Heffner, PHD
• Steven Miller Heffner, MD

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.