Individual provider Active NPI

Donald T Hendrixson, D.M.D.

  • General Practice Dentistry
  • Westlake Village, CA
National Provider Identifier
1114033800
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20370 Issued in CA
Practice address
179 Auburn CT Ste 4
Westlake Village, CA 91362-6604
Phone
(805) 495-7064
Fax
(805) 495-4989
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20370 CA Primary

Addresses

Primary practice location

179 Auburn CT Ste 4
Westlake Village, CA 91362-6604

Mailing address

179 Auburn CT Ste 4
Westlake Village, CA 91362-6604
Phone (805) 495-7064

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

Practice roles

OrganizationSpecialtyStatusNew patients
Donald T Hendrixson DMD Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114033800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 AUBURN CT STE 4",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626604",
            "telephone_number": "805-495-7064",
            "fax_number": "805-495-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 AUBURN CT STE 4",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626604",
            "telephone_number": "805-495-7064",
            "fax_number": "805-495-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIXSON",
        "first_name": "DONALD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.