Joelle L.M Hendrickson-Hairston, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7136 Issued in NC

Practice address

907 Big Bethel Rd
Hampton, VA 23666-1901

Phone

(757) 838-5999

NPI assigned

Dec 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Joelle L.M. Hendrickson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Joelle Hairston DDS PLLC

  • Dental Clinic/Center
  • Williamsburg, VA
  • NPI 1679215834
  NPD
• Jasper N Watts,DDS,LLC

  • Dentist
  • Hampton, VA
  • NPI 1851729685
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1407833809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 HELMSDALE CT",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886644",
            "telephone_number": "912-661-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BIG BETHEL RD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661901",
            "telephone_number": "757-838-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Bulifants Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885710",
            "country_code": "US",
            "telephone_number": "757-941-4441",
            "fax_number": "757-941-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON-HAIRSTON",
        "first_name": "JOELLE",
        "middle_name": "L.M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7136",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "HENDRICKSON",
            "middle_name": "L.M.",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyle S Helwig, LPC
• Glori Mae Henderson, QMHP,ADMINISTRATOR
• Jacob Henderson, DPT
• Joan Henderson
• Shirelle Hendrick, LCSW
• McKenzie O Henry, COTA/L
• Michael George Henry, LPN
• Heritage Behavioral Health LLC
• David W. Hermann
• Gretchen E Hernandez Lopez, PH.D.

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.