Joseph R. Hendrick, Jr. DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5396 Issued in NC

Legal business name

JOSEPH R. HENDRICK, JR. DDS, PA

Practice address

511 N Morgan St
Shelby, NC 28150-4436

Phone

(704) 484-0077

Fax

(704) 482-2229

NPI assigned

Mar 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Hendrick, DDSNPI 1730284423

Title

Doctor/Owner

Phone

(704) 484-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Rochel Hendrick Jr., DDS

  • General Practice Dentistry
  • Shelby, NC
  • NPI 1730284423
  NPD (past) Authorized official

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1346410008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504436",
            "telephone_number": "704-484-0077",
            "fax_number": "704-482-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N MORGAN ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504436",
            "telephone_number": "704-484-0077",
            "fax_number": "704-482-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. HENDRICK, JR. DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "704-484-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmy Lee Jones, ANP
• Nancy H Jones, MS, RD, LDN
• Shakeila Jones
• Stephen W Jones, MD
• Toni Jones, LCSW
• Sarah Jo Joyce, LCMHCA
• Joyful Living Dda Home, Inc.
• Joyful Living Dda Home, Inc.
• Alan Velez Jubane, MD
• Amber Jade Justice, FNP

• General Practice Dentistry in Shelby, NC
• Providers in Shelby, 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 Jan 5, 2009; 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.