NPIMap

Organization Active NPI

Hendricks Family Dentistry PC

Doing business as A Division Of Atlantic Dental Care, PLC

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1790020238
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401005190 Issued in VA
Legal business name
HENDRICKS FAMILY DENTISTRY PC
Doing business as
A Division Of Atlantic Dental Care, PLC
Practice address
737 Little Neck Rd
Virginia Beach, VA 23452-5813
Phone
(757) 486-4469
Fax
(757) 486-4603
NPI assigned
Dec 11, 2012
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Dr. Arthur Clayborn Hendricks, DDSNPI 1356497549
Title
Owner
Phone
(757) 486-4469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401005190 VA Primary

Addresses

Primary practice location

737 Little Neck Rd
Virginia Beach, VA 23452-5813

Mailing address

737 Little Neck Rd
Virginia Beach, VA 23452-5813
Phone (757) 486-4469

Other names 1

  • A Division Of Atlantic Dental Care, PLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hendricks Family Dentistry PC15 organizations share this tax ID, including this one
Part of
Hendricks Family Dentistry PC

Other organizations with this tax ID 14

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

View all 14

Locations

737 Little Neck Rd
Virginia Beach, VA 23452
Phone (757) 486-4469

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1790020238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 LITTLE NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525813",
            "telephone_number": "757-486-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 LITTLE NECK RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525813",
            "telephone_number": "757-486-4469",
            "fax_number": "757-486-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS FAMILY DENTISTRY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2012-12-11",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "CLAYBORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-486-4469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401005190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Division Of Atlantic Dental Care, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.