Hendersonville Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9285 Issued in NC

Legal business name

HENDERSONVILLE DENTISTRY

Practice address

687 Blythe Street CT Ste a
Hendersonville, NC 28739-4054

Phone

(828) 692-3933

Fax

(828) 692-9946

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By 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

Claire L Black, DDSNPI 1043571300

Title

Partner

Phone

(828) 692-3933

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Claire L Black, DDS

  • General Practice Dentistry
  • Hendersonville, NC
  • NPI 1043571300
  NPD (past) Authorized official
• Clayton A Sanders, DDS

  • General Practice Dentistry
  • Hendersonville, NC
  • NPI 1588689764
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1780011213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 BLYTHE STREET CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394054",
            "telephone_number": "828-692-3933",
            "fax_number": "828-692-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 BLYTHE STREET CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394054",
            "telephone_number": "828-692-3933",
            "fax_number": "828-692-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "828-692-3933",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000755006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NC",
            "identifier": "97556",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7997556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henderson County Rescue Squad
• Henderson County Rescue Squad Inc
• Henderson County Urgent Care Center Inc (Pardee Urgent Care Four Seasons)
• Hendersonville Aesthetics and Vein Center LLC
• Hendersonville Counseling, PLLC
• Hendersonville Ear, Nose & Throat, P.a.
• Hendersonville Emergency Consultants PC
• Hendersonville Eye Care, OD, PA
• Hendersonville Family Health Center-Psych
• Hendersonville Hematology and Oncology

• General Practice Dentistry in Hendersonville, NC
• Providers in Hendersonville, 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 Sep 30, 2013; 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.