Hendricks Family & Cosmetic Dentistry

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

8627 Issued in KY

Legal business name

HENDRICKS FAMILY & COSMETIC DENTISTRY

Practice address

1025 Dove Run Rd Ste 208
Lexington, KY 40502-3588

Phone

(859) 368-8618

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By 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. Don Michael Hendricks, DMD

Title

Dentist/Owner

Phone

(859) 368-8618

Specialties & licenses 1

Addresses

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.

• Don-Michael Hendricks, D.M.D.

  • Dentist
  • Lexington, KY
  • NPI 1083876247
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1790175438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 DOVE RUN RD STE 208",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023588",
            "telephone_number": "859-368-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DOVE RUN RD STE 208",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023588",
            "telephone_number": "859-368-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "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": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "KY",
            "license": "8627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T Henderson, RN,CRNFA
• Shelby Henderson, OD
• Stacey Henderson
• David James Hendren, APRN
• Hendricks Family & Cosmetic Dentistry
• Don-Michael Hendricks, D.M.D.
• Halle Rhea Hendricks, CSW
• Megan M Hendricks
• Michael Paul Hendricks, MD
• Tivoli Hendricks, LPCC

• Point of Service in Lexington, KY
• Providers in Lexington, KY by specialty
• Point of Service in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.