NPIMap

Organization Active NPI

John Hendricks DDS LLC

  • Dental Clinic/Center
  • Bluffton, SC
National Provider Identifier
1992269245
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHN HENDRICKS DDS LLC
Practice address
70 Pennington Dr Ste 7
Bluffton, SC 29910-6056
Phone
(843) 706-3377
Fax
(843) 706-3381
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Dr. John Raymond Hendricks Jr., DDSNPI 1669695045
Title
Owner/Dentist
Phone
(843) 706-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

70 Pennington Dr Ste 7
Bluffton, SC 29910-6056

Mailing address

70 Pennington Dr Ste 7
Bluffton, SC 29910-6056
Phone (843) 706-3377

National Provider Directory

National Provider Directory

Locations

70 Pennington Dr
Ste 7
Bluffton, SC 29910
Phone (843) 706-3377

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1992269245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PENNINGTON DR STE 7",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106056",
            "telephone_number": "843-706-3377",
            "fax_number": "843-706-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PENNINGTON DR STE 7",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106056",
            "telephone_number": "843-706-3377",
            "fax_number": "843-706-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HENDRICKS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-706-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.