Active NPI
McKinley Hendrix, DMD
- General Practice Dentistry
- Hartselle, AL
National Provider Identifier
1932606340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6498
- Practice address
- 1500 Highway 31 SW
Hartselle, AL 35640-2824 - Phone
- (256) 773-0530
- NPI assigned
- Apr 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 6498 | AL | Primary |
Addresses
Primary practice location
1500 Highway 31 SW
Hartselle, AL 35640-2824
Mailing address
1500 Highway 31 SW
Hartselle, AL 35640-2824
Other practice location 1
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (256) 466-1373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6498 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrix Dental, PC | General Practice | Current | Accepting new patients |
| Mark a. Hendrix DMD PC | General Practice | Past | Accepting new patients |
Locations
1500 Highway 31 SW
Hartselle, AL 35640
Phone (256) 773-0530
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Hartselle, AL
- NPI 1194341743
-
- General Practice Dentistry
- Hartselle, AL
- NPI 1548488380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1932606340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 HIGHWAY 31 SW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356402824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 HIGHWAY 31 SW",
"city": "HARTSELLE",
"state": "AL",
"postal_code": "356402824",
"telephone_number": "256-773-0530"
}
],
"practiceLocations": [
{
"address_1": "50 N Medical Dr",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841320001",
"country_code": "US",
"telephone_number": "256-466-1373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRIX",
"first_name": "MCKINLEY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartselle, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.