Organization Active NPI

David Hendrick DDS PLLC IV

  • General Practice Dentistry
  • Wadesboro, NC
National Provider Identifier
1841821238
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVID HENDRICK DDS PLLC IV
Practice address
148 E Morgan St
Wadesboro, NC 28170-2202
Phone
(980) 729-5200
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
David Ray Hendrick, DDS
Title
Dentist/Owner
Phone
(980) 729-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

148 E Morgan St
Wadesboro, NC 28170-2202

Mailing address

8604 Cliff Cameron Dr Ste 170
Charlotte, NC 28269-8508
Phone (980) 729-5200

National Provider Directory

National Provider Directory

Locations

148 E Morgan St
Wadesboro, NC 28170
Phone (704) 694-2961

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1841821238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 CLIFF CAMERON DR STE 170",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698508",
            "telephone_number": "980-729-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 E MORGAN ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702202",
            "telephone_number": "980-729-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HENDRICK DDS PLLC IV",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "980-729-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.