Allen Dean Hesselgrave, CPO

Primary specialty

SpecialistTaxonomy code 174400000X

License

CPO001909 Issued in SC

Practice address

1 Brushy Meadows Dr
Greer, SC 29650-1006

Phone

(864) 989-1946

Fax

(864) 989-1947

NPI assigned

Mar 15, 2010

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

Other identifiers 1

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 and National Provider Directory roles.

• Advanced Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Columbia, SC
  • NPI 1417202821
  NPD (past)
• Advanced Prosthetics, Inc.

  • Prosthetic/Orthotic Supplier
  • Greer, SC
  • NPI 1164409074
  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1740504158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRUSHY MEADOWS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501006",
            "telephone_number": "864-989-1946",
            "fax_number": "864-989-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRUSHY MEADOWS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501006",
            "telephone_number": "864-989-1946",
            "fax_number": "864-989-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSELGRAVE",
        "first_name": "ALLEN",
        "middle_name": "DEAN",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "CPO001909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC",
            "identifier": "CPO001909",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Hendricks, MBA, RD, LD, IBCLC
• Erin Nicole Henley, MS CCC SLP
• William John Henry III, M.D.
• Erin Booth Herendeen, P.A.
• Amber Hess
• Benjamin Andrew Hester, M.D.
• Nancy S. Hicks, PT
• Higher Good LLC
• Chase Matthew Hill, DPT
• Jason J Hill, DO

• All providers in Greer, SC
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.