Robert Ernest Hendry II, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11608 Issued in FL

Practice address

13650 Metropolis Ave
Ste 108
Ft Myers, FL 33912

Phone

(239) 768-5600

Fax

(299) 768-5622

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Robert E Hendry II Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174690424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 METROPOLIS AVE",
            "address_2": "STE 108",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-768-5600",
            "fax_number": "299-768-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 METROPOLIS AVE",
            "address_2": "STE 108",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "33912",
            "telephone_number": "239-768-5600",
            "fax_number": "299-768-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRY",
        "first_name": "ROBERT",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "HENDRY",
            "middle_name": "E",
            "suffix": "II",
            "credential": "DMD PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelly Henderson, PTA
• Emily R. Hendrick, APRN
• Brenda Kae Hendricks, OTA
• Jeffrey Paul Hendricks, B.S.
• Jessica Hendricks, ARNP
• Stacie Hendry, CRNA
• Connor Joseph Heney, DC
• Jeffrey S Henn, M.D.
• Nadia Suzanne Henneman
• Alyssa Hennessey

• Dentist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dentist in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.