Active NPI
Martha Clark Hendrix, (DMD)
- General Practice Dentistry
- Anderson, SC
National Provider Identifier
1215165873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4610
- Practice address
- 3112 N Main St
Anderson, SC 29621-2763 - Phone
- (864) 716-2118
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4610 | SC | Primary |
Addresses
Primary practice location
3112 N Main St
Anderson, SC 29621-2763
Mailing address
1090 Northchase Parkway SE
Suite 290 Kool Smiles/ NCDR, LLC
Marietta, GA 30067
Phone (678) 904-5665
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4610 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creston Dental-1, P.C. | 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.
-
- General Practice Dentistry
- Anderson, SC
- NPI 1972687903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1215165873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PARKWAY SE",
"address_2": "SUITE 290 KOOL SMILES/ NCDR, LLC",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "678-904-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3112 N MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212763",
"telephone_number": "864-716-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "MARTHA",
"middle_name": "CLARK",
"name_prefix": "Dr.",
"credential": "(DMD)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.