Organization Active NPI

Rick Hensley DMD III PA Dba Lincolnton Family Dentistry

  • General Practice Dentistry
  • Lincolnton, NC
National Provider Identifier
1003089400
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC6676 Issued in NC
Legal business name
RICK HENSLEY DMD III PA DBA LINCOLNTON FAMILY DENTISTRY
Practice address
821 E Sycamore St
Lincolnton, NC 28092-3427
Phone
(704) 735-3117
Fax
(704) 735-1107
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Rick Hensley, DMD
Title
Dentist
Phone
(704) 735-3117

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X NC6676 NC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X NC8685 NC
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8664 NC
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8767 NC

Addresses

Primary practice location

821 E Sycamore St
Lincolnton, NC 28092-3427

Mailing address

821 East Sycamore St
Licolnton, NC 28092
Phone (704) 735-3117

Other identifiers 7

IdentifierTypeStateIssuer
5910047MedicaidNC
899003YMedicaidNC
1497981344OtherINDIVIDUAL NPI
5910817MedicaidNC
1972614600OtherINDIVIDUAL NPI
1477711539OtherINDIVIDUAL NPI
1528086428OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1003089400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 EAST SYCAMORE ST",
            "city": "LICOLNTON",
            "state": "NC",
            "postal_code": "28092",
            "telephone_number": "704-735-3117",
            "fax_number": "704-735-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E SYCAMORE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923427",
            "telephone_number": "704-735-3117",
            "fax_number": "704-735-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK HENSLEY DMD III PA DBA LINCOLNTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-735-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6676",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC8685",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8664",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910047",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899003Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497981344",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910817",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1972614600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477711539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528086428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.