Louis M Hedlund, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4741 Issued in NE

Practice address

4940 Normal Blvd
Lincoln, NE 68506-6316

Phone

(402) 486-1200

Fax

(402) 486-1317

NPI assigned

Mar 21, 2007

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 4

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

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.

• Antelope Creek Family Dentistry PC

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1831214279
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881719243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S 66TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163663",
            "telephone_number": "402-421-7080",
            "fax_number": "402-486-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685066316",
            "telephone_number": "402-486-1200",
            "fax_number": "402-486-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDLUND",
        "first_name": "LOUIS",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "727208",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47078869213",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA PROVIDER NUMBER",
            "identifier": "470788692241",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "5783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Lucille Heckman, PHARMD, RP
• Natasha Hedden, APRN
• Giles S Hedderich, MD
• Taylor Elise Schelstraete Hedgecock, WHNP-BC, DNP
• Katelyn Nicole Hedlund, DPT
• Todd Aaron Hedlund, D.C.
• Brittany Leigh Hedrick
• Sue Diane Hedrick
• Val Heedum
• Brooke Heeren, RN

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.