Glenn Hendrix, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3474-08 Issued in MS

Practice address

2113 Government St Ste K1
Ocean Springs, MS 39564-3949

Phone

(228) 826-3811

NPI assigned

Jan 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WFD, LLC

  • General Practice Dentistry
  • Wiggins, MS
  • NPI 1598517948
  NPD (past)
• Wiggins Family Dentistry

  • General Practice Dentistry
  • Wiggins, MS
  • NPI 1619148749
  NPD (past)

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1871831412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 GOVERNMENT ST STE K1",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643949",
            "telephone_number": "228-826-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 GOVERNMENT ST STE K1",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643949",
            "telephone_number": "228-826-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3474-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Rehab
• Judy W. Hearne, MCD,CCC-SLP
• Heather Rhoden, MD, PLLC
• Cory Raymond Hegarty, DPT
• Harry Bradley Heitzman, M.D.
• Kevin W Hendry
• Mary Claudia Hendry, MCD-CCC-SLP
• Amy Renae Herbert, CCC, SLP
• Nita Hope Hereford, M.S. COUNSELOR
• Elizabeth Heroux, PA

• General Practice Dentistry in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.