Hendricks Dental Group, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

4731 Issued in NM

Legal business name

HENDRICKS DENTAL GROUP, LLC

Practice address

444 Saint Michaels Dr Ste B
Santa Fe, NM 87505-7674

Phone

(505) 989-8749

NPI assigned

Sep 25, 2017

Last updated

Jul 21, 2022By 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

Virginia Hendricks

Title

General Manager

Phone

(505) 603-6220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952810715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SAINT MICHAELS DR STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057674",
            "telephone_number": "505-989-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SAINT MICHAELS DR STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057674",
            "telephone_number": "505-989-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "505-603-6220"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NM",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Helfrich
• Helios EMS, LLC
• Robert E. Hemmen
• Victoria Liviya Hemphill, DACM, MA
• Vito Hemphill, D.C.
• Hendricks Functional Health, LLC (Santa Fe Therapy Associates)
• Allison Denise Hendricks, LMHC
• Katharine Hope Hendricks, LPCC
• Kelly Hendricks
• Kristin Wayne Hendricks, DDS

• Prosthodontics in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Prosthodontics in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.