Organization Active NPI

Rick Hensley DMD III PA Dba Lincolntoln Family Dentistry

  • General Practice Dentistry
  • Lincolnton, NC
National Provider Identifier
1649436825
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC6676 Issued in NC
Legal business name
RICK HENSLEY DMD III PA DBA LINCOLNTOLN FAMILY DENTISTRY
Practice address
912 Donita Dr
Lincolnton, NC 28092-3643
Phone
(704) 735-8207
Fax
(704) 748-2364
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Rick Hensley, DMD
Title
Dentist
Phone
(704) 735-8207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X NC6676 NC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X NC3717 NC

Addresses

Primary practice location

912 Donita Dr
Lincolnton, NC 28092-3643

Mailing address

912 Donita Dr
Lincolnton, NC 28092-3643
Phone (704) 735-8207

Other identifiers 4

IdentifierTypeStateIssuer
8997613MedicaidNC
899003YMedicaidNC
1528086428OtherNCINDIVIDUAL NPI
1124036561OtherNCINDIVIDUAL NPI

National Provider Directory

National Provider Directory
Tax ID family
Rick Hensley DMD II PA Dba Mt View Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

912 Dontia Dr
Lincolnton, NC 28092
Phone (704) 735-8207

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1649436825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 DONITA DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923643",
            "telephone_number": "704-735-8207",
            "fax_number": "704-748-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 DONITA DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923643",
            "telephone_number": "704-735-8207",
            "fax_number": "704-748-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK HENSLEY DMD III PA DBA LINCOLNTOLN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-735-8207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6676",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC3717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997613",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899003Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528086428",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124036561",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.