David R Hendrick DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

NC6442 Issued in NC

Legal business name

DAVID R HENDRICK DDS PA

Practice address

1315 Wilkesboro Blvd NE
Lenoir, NC 28645

Phone

(828) 754-3531

Fax

(828) 754-9866

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

David Ray Hendrick, DDS

Title

Owner

Phone

(828) 754-3531

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boiling Springs Family Dentistry Doing business as

Tax ID family

Boiling Springs Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David R Hendrick DDS PA

  • General Practice Dentistry
  • Shelby, NC
  • NPI 1831666940
  NPD tax ID

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1962676262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WILKESBORO BLVD NE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-3531",
            "fax_number": "828-754-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WILKESBORO BLVD NE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-3531",
            "fax_number": "828-754-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R HENDRICK DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-754-3531",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC6442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993801",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boiling Springs Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Kristina Darcy, LCSWA
• Elizabeth Paige Darnell, M.D.
• David E Thome DDS PLLC I
• David E Thome DDS PLLC L1
• David Hendrick DDS PLLC II
• Elizabeth N Davis, LPC
• John William Davis, DDS
• Jordan Barnes Deboard, RDN, LDN, CEDS
• Mark Dellinger
• David Brian Denison Jr., ATS

• All providers in Lenoir, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.