Active NPI
Hendricks Family & Cosmetic Dentistry
- General Practice Dentistry
- Lexington, KY
National Provider Identifier
1497029201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8624
- Legal business name
- HENDRICKS FAMILY & COSMETIC DENTISTRY
- Practice address
- 1025 Dove Run Rd
Suite 208
Lexington, KY 40502-3588 - Phone
- (859) 368-8618
- Fax
- (859) 368-8648
- NPI assigned
- Feb 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Don Michael Hendricks, DMD
- Title
- Dentist/Owner
- Phone
- (859) 368-8618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8624 | KY | Primary |
Addresses
Primary practice location
1025 Dove Run Rd
Suite 208
Lexington, KY 40502-3588
Mailing address
1025 Dove Run Rd
Suite 208
Lexington, KY 40502-3588
Phone (859) 368-8618
Other names 1
- Don Michael Hendricks
National Provider Directory
National Provider DirectoryLocations
1025 Dove Run Rd
Ste 208
Lexington, KY 40502
Phone (859) 268-6061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1497029201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 DOVE RUN RD",
"address_2": "SUITE 208",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023588",
"telephone_number": "859-368-8618",
"fax_number": "859-368-8648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 DOVE RUN RD",
"address_2": "SUITE 208",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405023588",
"telephone_number": "859-368-8618",
"fax_number": "859-368-8648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDRICKS FAMILY & COSMETIC DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "DON MICHAEL",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "859-368-8618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "8624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Don Michael Hendricks",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.