DARRELL W HEDRICK DDS LLC (NPI# 1548652225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548652225 |
| Entity Type | Organization |
| Organization Name | DARRELL W HEDRICK DDS LLC |
| Practice Address |
2001 Laquesta Drive Neosho MO 64850 |
| Practice Telephone | 4174513545 |
| Mailing Telephone | 4174513545 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | DR. DARRELL W HEDRICK (OWNER) |
| Authorized Official Telephone | 4174513545 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
14903 | MO | Ambulatory Health Care Facilities |
| Street Address |
2001 LAQUESTA DRIVE |
| City | NEOSHO |
| State | MO |
| Zip Code | 64850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720526072 | Jamie Emery | Behavioral Analyst | 180 Cemetery Rd, Neosho, MO 64850 | 2017-02-07 |
| 1558809889 | Johnna Burton | Assistant Behavior Analyst | 180 Cemetery Rd., Neosho, MO 64850 | 2017-02-07 |
| 1013368984 | Ozark Tri County Healthcare Consortium | Dentist | 516 W Mccord, Neosho, MO 64850 | 2016-06-22 |
| 1740654615 | Rachel Leah Morrison | Counselor | 3370 Lusk Drive, Neosho, MO 64850 | 2015-11-16 |
| 1417333881 | Spandana Mukka | Dentist | 2040 Laquesta Drive, Neosho, MO 64850 | 2015-08-07 |
| 1992119895 | Junior College District of Newton & Mcdonald Co | Social Worker | 180 Cementary Rd, Neosho, MO 64850 | 2014-06-18 |
| 1043539653 | Richard Joseph Betz | Internal Medicine | 20695 Owl Road, Neosho, MO 64850 | 2010-05-21 |
| 1356599641 | Neosho Bone & Joint Clinic P.C. | Specialist | 4040 Laquesta Drive, Neosho, MO 64850 | 2008-08-29 |
| 1477648764 | Timothy G Mitchell | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850 | 2006-10-04 |
| 1578669701 | Tim Mitchell Medical, Inc | Durable Medical Equipment & Medical Supplies | 719 S Neosho Blvd, Ste A, Neosho, MO 64850 | 2006-09-15 |
| Find all providers in zip 64850 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972770212 | William D Burch Dds LLC | Clinic/Center | 1001 W Hill St, Neosho, MO 64850-1642 | 2008-05-15 |
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| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.