R Boyd Hendrix DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

2870 Issued in SC

Legal business name

R BOYD HENDRIX DMD PA

Practice address

1534 Platt Springs Road
West Columbia, SC 29169

Phone

(803) 794-5555

Fax

(803) 791-8490

NPI assigned

Nov 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R Boyd Hendrix, DMDNPI 1821164344

Title

President

Phone

(803) 794-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• R Hendrix, DMD

  • General Practice Dentistry
  • West Columbia, SC
  • NPI 1821164344
  NPD (past) Authorized official

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740356260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4855",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29171",
            "telephone_number": "803-794-5555",
            "fax_number": "803-791-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 PLATT SPRINGS ROAD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-794-5555",
            "fax_number": "803-791-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R BOYD HENDRIX DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-794-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9967",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darcia M Putnam, CNM
• Bradley Harrison-Seth Quarles
• Frank L. Quinn, PH.D.
• Fernando Luis Quirindongo-Solano, DPM
• Donna L Quirk, RD
• Molly McCombs Rabe, LISW-CP
• Goran Rac, M.D.
• Taylor E Radley, FNP
• Ashley Ragan, BSN, MSN, CRNA
• Rahul Raghavan, MD

• Dentist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.