NPIMap

Organization Active NPI

Thomas M. Hendley, D.M.D., P.a.

  • General Practice Dentistry
  • Pageland, SC
National Provider Identifier
1992839708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3504 Issued in SC
Legal business name
THOMAS M. HENDLEY, D.M.D., P.A.
Practice address
124 S Pearl St
Pageland, SC 29728-2254
Phone
(843) 672-2403
Fax
(843) 672-3299
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas Monroe Hendley III, D.M.D.
Title
President
Phone
(843) 672-2403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3504 SC Primary

Addresses

Primary practice location

124 S Pearl St
Pageland, SC 29728-2254

Mailing address

124 S Pearl St
Pageland, SC 29728-2254
Phone (843) 672-2403

Other identifiers 2

IdentifierTypeStateIssuer
ZA9857MedicaidSC
35043MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992839708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282254",
            "telephone_number": "843-672-2403",
            "fax_number": "843-672-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S PEARL ST",
            "city": "PAGELAND",
            "state": "SC",
            "postal_code": "297282254",
            "telephone_number": "843-672-2403",
            "fax_number": "843-672-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. HENDLEY, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-672-2403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9857",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35043",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pageland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.