Active NPI
Philip Joseph Hedger, D.M.D.
- Prosthodontics
- Trinity, FL
National Provider Identifier
1669817532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN 19081
- Practice address
- 8740 Mitchell Blvd
Trinity, FL 34655-4400 - Phone
- (727) 877-0011
- NPI assigned
- May 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 19081 | FL | |
| Prosthodontics | 1223P0700X | DN 19081 | FL | Primary |
Addresses
Primary practice location
8740 Mitchell Blvd
Trinity, FL 34655-4400
Mailing address
2711 Tampa Rd
Palm Harbor, FL 34684-3312
Phone (727) 786-1631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19081 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael a Pikos, D.D.S, PA | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Trinity, FL
- NPI 1265886063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1669817532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 TAMPA RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843312",
"telephone_number": "727-786-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8740 MITCHELL BLVD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554400",
"telephone_number": "727-877-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGER",
"first_name": "PHILIP",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-06",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 19081",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN 19081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.