Organization Active NPI

Hendricks Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Lexington, KY
National Provider Identifier
1497029201
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8624 Issued in KY
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

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Don Michael Hendricks, DMDNPI 1083876247
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.