Organization Active NPI

Hedgecock Dental, PLLC

  • Public Health Dentistry
  • Austin, TX
National Provider Identifier
1740572932
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
26159 Issued in TX
Legal business name
HEDGECOCK DENTAL, PLLC
Practice address
5920 W William Cannon Dr Ste 200
Austin, TX 78749-1902
Phone
(512) 892-2273
Fax
(512) 900-2866
NPI assigned
May 6, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brandon C Hedgecock, DDSNPI 1043416753
Title
President
Phone
(512) 892-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 26159 TX Primary

Addresses

Primary practice location

5920 W William Cannon Dr Ste 200
Austin, TX 78749-1902

Mailing address

5920 West William Cannon Drive
BLDG. 6 Suite 200
Austin, TX 78749
Phone (512) 892-2273

National Provider Directory

National Provider Directory

Locations

5920 W William Cannon Dr
Ste 200
Austin, TX 78749
Phone (512) 892-2273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740572932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 WEST WILLIAM CANNON DRIVE",
            "address_2": "BLDG. 6 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78749",
            "telephone_number": "512-892-2273",
            "fax_number": "512-900-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 W WILLIAM CANNON DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491902",
            "telephone_number": "512-892-2273",
            "fax_number": "512-900-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEDGECOCK DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEDGECOCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-892-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "26159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.