Brad Hendrickson D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-6177 Issued in OH

Legal business name

BRAD HENDRICKSON D.D.S., INC.

Practice address

910 Katherine Ave
Ashland, OH 44805-0386

Phone

(419) 289-3325

Fax

(419) 289-3546

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brad R Hendrickson, D.D.S.

Title

Owner

Phone

(419) 289-3325

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradford R. Hendrickson, D.D.S.

  • General Practice Dentistry
  • Ashland, OH
  • NPI 1679626899
  NPD (past)
• Robert Matz, D.D.S.

  • General Practice Dentistry
  • Ashland, OH
  • NPI 1972649028
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235256124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 KATHERINE AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448050386",
            "telephone_number": "419-289-3325",
            "fax_number": "419-289-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 KATHERINE AVE",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448050386",
            "telephone_number": "419-289-3325",
            "fax_number": "419-289-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD HENDRICKSON D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-289-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Bowling, STNA
• Amanda Bowman, STNA
• Victoria Bowman
• Beth A Boyd, PT
• Christopher D Boyd, M.D.
• Kailey Bradley
• Wayne Stanford Brechbuhler, MD
• David T. Brennan, DVM
• Tylar Brennstuhl
• John Brent, PH.D.

• General Practice Dentistry in Ashland, OH
• Providers in Ashland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.