Darrell W. Hedrick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14903 Issued in MO

Practice address

2001 La Questa Dr
Neosho, MO 64850-2846

Phone

(417) 451-3545

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760510002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LA QUESTA DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502846",
            "telephone_number": "417-451-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LA QUESTA DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502846",
            "telephone_number": "417-451-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "DARRELL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14903",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Hargett, MD
• Lacy Harrington, FNP-C
• Misty M Hayes, LPC
• Heart and Vascular Care, P.C.
• Heartland Kidney and Dialysis Center
• Brady G. Hesington, MD
• Cynthia D. Hester, LPC
• Kyslea Ann Hester, OTR/L
• Amy Hillmon
• Hillside Family Dental

• General Practice Dentistry in Neosho, MO
• Providers in Neosho, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.