James Robert Hendricks, DMD,MPH

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8055 Issued in TN

Practice address

1642 Westgate Cir
Suite 100
Brentwood, TN 37027-8194

Phone

(615) 373-9889

Fax

(615) 425-0320

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Brentwood Dental Specialists

  • Pediatric Dentistry
  • Brentwood, TN
  • NPI 1235427691

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1053482505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 WESTGATE CIR",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278194",
            "telephone_number": "615-373-9889",
            "fax_number": "615-425-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 WESTGATE CIR",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278194",
            "telephone_number": "615-373-9889",
            "fax_number": "615-425-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "DMD,MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "8055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Kirk Henderson, M.A.
• Donald Taylor Henderson, DC
• Helen Bond Henderson, M.A., CCC-SLP
• Morgan Henderson
• Alexandra Warren Hendricks, D.M.D.
• Julie A Hendrix, M.D.
• Laureli Hendrix
• Hillary Grace Henize, PSY.D.
• Jacob Henry, LPC-MHSP-S, LPCC-S
• Stephany Henry

• Orthodontics and Dentofacial Orthopedics Dentistry in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.