Todd Matthew Hendrickson, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8280 Issued in NC

Practice address

4949 Professional Park Dr
Suite 203
Kannapolis, NC 28081-8637

Phone

(704) 938-0559

Fax

(888) 651-3483

NPI assigned

Oct 15, 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.

• Todd M Hendrickson DMD PLLC

  • Dental Clinic/Center
  • Kannapolis, NC
  • NPI 1821789462
  NPD (past) Authorized official

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1184714404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PROFESSIONAL PARK DR",
            "address_2": "SUITE 203",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818637",
            "telephone_number": "704-938-0559",
            "fax_number": "888-651-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PROFESSIONAL PARK DR",
            "address_2": "SUITE 203",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818637",
            "telephone_number": "704-938-0559",
            "fax_number": "888-651-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "TODD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Scoggins Haywood
• Deborah Davis Helms
• Karen H Helms, PHARMD
• Michelle S Henderson, LCSW
• Carol Hendricks, M.A., CCC-SLP
• Henry D Duncan DDS PA
• Christopher S. Henry, MD
• Eddie Resquites Hermosisima, M.D.
• Lisa Borrelli Herran, FNP
• Kaley Almond Hess, MSOT, OTR/L

• General Practice Dentistry in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.