Penelope Chris Hendrix, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8132 Issued in NC

Practice address

9612 Center Cross CT
Raleigh, NC 27617-7611

Phone

(919) 845-5622

NPI assigned

Jan 23, 2006

Last updated

Apr 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Penelope Hendrix Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1437129632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9612 CENTER CROSS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177611",
            "telephone_number": "919-845-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9612 CENTER CROSS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177611",
            "telephone_number": "919-845-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "PENELOPE",
        "middle_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10414",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3908",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "WOOD",
            "middle_name": "HENDRIX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tassy Henderson, NCC, LCMCHA
• Ashley Whitney Hendricks, AGACNP
• Chanyel Latisha Hendricks, LCSWA
• Lauren Hendricks, NP-BC
• Sarah Fulton Hendrickson, PA-C
• Celia Elizabeth Hendry
• Mark David Henin, MD
• Morgan Sill Henis, L.AC.
• Erin Hennessee, MS, CCC-SLP
• Sydney C Hennessy, D.V.M.

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 10, 2018; 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.