NPIMap

Individual provider Active NPI

Tarem Eric Hendricks, DMD

  • General Practice Dentistry
  • Warner Robins, GA
National Provider Identifier
1093882136
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN012345 Issued in GA
Practice address
98 Cohen Walker Dr
Warner Robins, GA 31088-0744
Phone
(478) 218-2000
NPI assigned
Nov 30, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN012345 GA Primary

Addresses

Primary practice location

98 Cohen Walker Dr
Warner Robins, GA 31088-0744

Mailing address

98 Cohen Walker Dr
Warner Robins, GA 31088-0744
Phone (478) 218-2000

Other practice location 1

655 7th St
Warner Robins, GA 31098-2227
Phone (478) 327-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN012345GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Board of Health PastSince Oct 10, 2021 Accepting new patients
Macon-Bibb County Health Department Past Accepting new patients
Baldwin County Health Department PastSince Jun 5, 2022 Accepting new patients
Houston County Health Department Past Accepting new patients
Colton Dental Group Past Accepting new patients
Putnam County Board of Health PastSince Oct 1, 2021 Accepting new patients
Peach County Board of Health PastSince Jun 5, 2022 Accepting new patients
Crawford County Health Department PastSince Oct 10, 2021 Accepting new patients
County of Jasper Health Department Past Accepting new patients
County of Hancock Health Department PastSince Oct 10, 2021 Accepting new patients
County of Monroe Health Department PastSince Oct 10, 2021 Accepting new patients
Jones County Health Department PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1093882136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 COHEN WALKER DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880744",
            "telephone_number": "478-218-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 COHEN WALKER DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880744",
            "telephone_number": "478-218-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-327-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "TAREM",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.