Individual provider Active NPI

Lauren Michelle Hedgespeth, D.M.D.

  • General Practice Dentistry
  • Bardstown, KY
National Provider Identifier
1720296692
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8460 Issued in KY
Practice address
798 Portland Ave
Bardstown, KY 40004-2539
Phone
(502) 348-7378
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8460 KY Primary

Addresses

Primary practice location

798 Portland Ave
Bardstown, KY 40004-2539

Mailing address

798 Portland Ave
Bardstown, KY 40004-2539
Phone (502) 348-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201002875 KY Practitioner - Dentist 3971801598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8460KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Oct 19, 2023 Accepting new patients
University of Kentucky CurrentSince Oct 19, 2023 Accepting new patients
Mortenson Family Dental Center - Bardstown, PLLC PastSince Sep 6, 2020 Accepting new patients

Locations

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
#D104
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1720296692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 PORTLAND AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042539",
            "telephone_number": "502-348-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 PORTLAND AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042539",
            "telephone_number": "502-348-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGESPETH",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.