Amanda Hameed Matti Hedo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601507 Issued in MI

Practice address

226 W State St
Montrose, MI 48457-9748

Phone

(810) 639-2079

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robin C Ballard DDS PC

  • Dentist
  • Montrose, MI
  • NPI 1548397904
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1508575143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223",
            "telephone_number": "724-698-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W STATE ST",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484579748",
            "telephone_number": "810-639-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDO",
        "first_name": "AMANDA",
        "middle_name": "HAMEED MATTI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friends Who Care-Montrose, LLC
• Aaron Gregory Graham
• Lamyyia Gray
• Groundwork Therapy PLLC
• Olivia Hall
• Corinne Sue Hill, RN
• Hope Shores McKinley
• Josephine Irwin, LPN
• Jaime a. Abbott, DDS, PLLC
• Sheila Sue Jones

• General Practice Dentistry in Montrose, MI
• Providers in Montrose, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.