Active NPI
David Allen Hedrick, D.D.S.
- Dentist
- Aurora, CO
National Provider Identifier
1922137066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- HD 104321
- Practice address
- 12357 E Cornell Ave
#10
Aurora, CO 80014-3323 - Phone
- (303) 337-5800
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | HD 104321 | CO | Primary |
Addresses
Primary practice location
12357 E Cornell Ave
#10
Aurora, CO 80014-3323
Mailing address
5490 S Waco St
Centennial, CO 80015-2654
Phone (303) 693-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150508001506 | CO | Order and Referring Only - Dentist | 2466771670 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HD 104321 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922137066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5490 S WACO ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800152654",
"telephone_number": "303-693-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12357 E CORNELL AVE",
"address_2": "#10",
"city": "AURORA",
"state": "CO",
"postal_code": "800143323",
"telephone_number": "303-337-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "DAVID",
"middle_name": "ALLEN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "HD 104321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.