Matt Hendrickson PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

20486 Issued in TX

Legal business name

MATT HENDRICKSON PLLC

Doing business as

Heritage Dental

Practice address

1434 N Central Expy
Suite 121
McKinney, TX 75070-3106

Phone

(972) 542-4402

Fax

(972) 542-2553

NPI assigned

Nov 22, 2011

Last updated

Nov 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matt Hendrickson, D.D.S.

Title

Owner

Phone

(972) 542-4402

Specialties & licenses 1

Addresses

Other names 1

• Heritage Dental Doing business as

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1053688895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 N CENTRAL EXPY",
            "address_2": "SUITE 121",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703106",
            "telephone_number": "972-542-4402",
            "fax_number": "972-542-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 N CENTRAL EXPY",
            "address_2": "SUITE 121",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703106",
            "telephone_number": "972-542-4402",
            "fax_number": "972-542-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT HENDRICKSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-542-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Shaw Mathews-Barker, MS, RD, LD
• Courtney Mathews
• Sony Mathews, MD
• Ara Matos, M.S., CCC-SLP
• Matrix Rehabilitation- Texas, Inc. (MATRIX Rehabilitation & Aquatic Center of McKinney)
• Matthew D Barrows MD PA (Dermatology & Skin Cancer Surgery Center)
• Cynthia Helen Matthews, LPC, NCC
• Joselin Anandam Matthews, MD
• Maus Pain Management PLLC
• Maveron Health, LLC

• Dental Clinic/Center in McKinney, TX
• Providers in McKinney, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.