DEMI HENDRICKS (NPI# 1336693290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336693290 |
| Entity Type | Individual |
| Full Name | DEMI HENDRICKS |
| Other Name | DEMI SIDES |
| Credential | DDS |
| Practice Address |
125 Scott St Davenport IA 52801-1130 |
| Mailing Address |
500 W River Dr Davenport IA 52801-1014 |
| Practice Telephone | 5633363000 |
| Practice Fax Number | 5633363229 |
| Mailing Telephone | 5633363000 |
| Mailing Fax Number | 5633363229 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS-09329 | IA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1598759029 | 05 |
| Street Address |
125 SCOTT ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52801-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759029 | Community Health Care, Inc. | Clinic/Center | 125 Scott St, Davenport, IA 52801-1130 | 2005-09-12 |
| 1336640713 | Christopher Zeng-yue Liu | Dentist | 125 Scott St, Davenport, IA 52801 | 2018-02-22 |
| 1316477094 | Kelsey Biittner | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2017-06-15 |
| 1356894752 | Anupam Singh | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2016-08-02 |
| 1780055483 | Uzoma Obah | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2015-10-07 |
| 1003290701 | Amira Yagi | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2015-07-13 |
| 1861883670 | Reem Oweis | Dentist | 125 Scott St, Davenport, IA 52801 | 2015-02-16 |
| 1801101407 | Asana Mohamad | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2010-08-09 |
| 1548493174 | Tina M Kao-reasoner | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2009-08-31 |
| 1013053891 | Katharine Joleen Pins | Dentist | 125 Scott St, Davenport, IA 52801-1130 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306332820 | Aaron Hartzler | Registered Nurse | 735 Federal Street, Davenport, IA 52801 | 2018-07-09 |
| 1235554916 | Gold Coast Chiropractic & Acupuncture Wellness Center, L.L.C. | Chiropractor | 604 West 5th Street, Davenport, IA 52801 | 2014-03-04 |
| 1316218928 | Alcohol & Drug Dependency Services | Clinic/Center | 320 N. Main St., Davenport, IA 52801 | 2012-01-13 |
| 1255742557 | Wanakee Jacoba Carr | Obstetrics & Gynecology | 500 W River Dr, Davenport, IA 52801 | 2014-05-08 |
| 1114205838 | Chiranjeevi Pramodna Siddagunta | Family Medicine | 500 W River Dr, Davenport, IA 52801 | 2011-07-29 |
| 1184056186 | County of Scott | Public Health or Welfare | 600 W 4th St, Davenport, IA 52801-1003 | 2013-08-01 |
| 1225295488 | Scott County Health Department | Public Health or Welfare | 600 W 4th St, Davenport, IA 52801-1003 | 2008-05-16 |
| 1598076762 | Tonia Rogers | Chiropractor | 604 W 5th St, Davenport, IA 52801-1005 | 2010-06-21 |
| 1629524699 | Scott County Family Young Men's Christian Association | Health Educator | 606 W 2nd St, Davenport, IA 52801-1009 | 2016-08-30 |
| 1528408796 | Anju Chana | Internal Medicine | 500 West River Drive, Davenport, IA 52801-1014 | 2013-07-02 |
| Find all providers in zip 52801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349284 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 202 Ronald Reagan Pkwy, Davenport, FL 33896-9606 | 2020-02-26 |
| 1952958167 | Skyline Dental Services, LLC | Dentist | 2180 W Kimberly Rd # 8, Davenport, IA 52806-5368 | 2019-08-22 |
| 1710549324 | Gnf Dental Group, P.a. | Dentist | 2300 Deer Creek Commerce Ln Ste 500, Davenport, FL 33837-6848 | 2019-07-03 |
| 1679039002 | Clayton Schommer | Dentist | 2010 E 38th St Ste 105, Davenport, IA 52807-1179 | 2019-02-11 |
| 1205287067 | Familia Dental Davenport LLC | Dentist | 3301 W Kimberly Rd Ste 5, Davenport, IA 52806-3047 | 2016-06-23 |
| 1386040962 | Best Smiles Family Dental Qc | Dentist | 2180 W Kimberly Rd, Space #8, Davenport, IA 52806-5368 | 2014-11-10 |
| 1801204292 | Sowmya Mysore Rajagopal | Dentist | 2180 W Kimberly Rd Spc 8, Davenport, IA 52806-5368 | 2014-07-29 |
| 1770865404 | Ashu Malhotra | Dentist | 5270 Elmore Ave Ste 4, Davenport, IA 52807-3466 | 2011-09-20 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1245469881 | Dustin Michael Smolenski | Dentist | 5105 Jersey Ridge Rd, Davenport, IA 52807-3134 | 2009-07-03 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.