HENDRICKS FAMILY & COSMETIC DENTISTRY (NPI# 1790175438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790175438 |
| Entity Type | Organization |
| Organization Name | HENDRICKS FAMILY & COSMETIC DENTISTRY |
| Practice Address |
1025 Dove Run Rd Ste 208 Lexington KY 40502-3588 |
| Practice Telephone | 8593688618 |
| Mailing Telephone | 8593688618 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | DR. DON MICHAEL HENDRICKS (DENTIST/OWNER) |
| Authorized Official Telephone | 8593688618 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 8627 | KY | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497029201 | Hendricks Family & Cosmetic Dentistry | Dentist | 1025 Dove Run Rd, Suite 208, Lexington, KY 40502-3588 | 2012-02-27 |
| Street Address |
1025 DOVE RUN RD STE 208 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40502-3588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1275187569 | Lorraine Wiley | Specialist/Technologist | 712 Sports Center Dr, Lexington, KY 40502 | 2019-07-25 |
| 1013560952 | Erica Keller Musgrave | Speech-Language Pathologist | 882 Mcmeekin Pl, Lexington, KY 40502 | 2019-07-19 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1689187684 | Lynn Kathryn Marsh Bryant | Speech-Language Pathologist | 120 Kentucky Avenue, Suite 110 Lexington, Lexington, KY 40502 | 2017-11-13 |
| 1215440888 | Ryan Mcnamara | Specialist/Technologist | 277 Sports Center Drive, Lexington, KY 40502 | 2017-11-06 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1568989002 | Lucie Thurman | Counselor | 1109 Richmond Rd., Lexington, KY 40502 | 2017-08-25 |
| 1548700867 | Ann Elizabeth Boone | Massage Therapist | 2121 Richmond Road, Suite 228, Lexington, KY 40502 | 2017-03-06 |
| Find all providers in zip 40502 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1447634910 | Health & Balance Chiropractic Clinic, LLC | Point of Service | 17 S Randolph St, A, Lexington, VA 24450-2526 | 2015-07-15 |
| 1891131801 | Northcliff, Aclf | Point of Service | 14691 Highway 22 N, Lexington, TN 38351-4825 | 2013-05-16 |
| 1407075088 | Gentle Care Family Cosmetic Dentistry | Point of Service | 2558 Larkin Rd, Lexington, KY 40503-3205 | 2007-04-24 |
| 1205202132 | Cvs | Point of Service | 1071 S Lake Dr, Lexington, SC 29073-3719 | 2015-08-14 |
| 1235552647 | First Baptist Church of Lexington | Point of Service | 415 Barr Rd, Lexington, SC 29072-2371 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713173 | Heidi Fuller | Point of Service | 12121 Shelbyville Rd Ste 101, Louisville, KY 40243-1094 | 2020-02-25 |
| 1225574817 | Wakefields Home Health & Improvement | Point of Service | 1108 Longfield Ave, Louisville, KY 40215-2728 | 2017-01-06 |
| 1639526940 | Children1st | Point of Service | 104 Holiday Court, Elizabethtown, KY 42701-8809 | 2016-05-17 |
| 1174987770 | Sears Holding - Kmart Pharmacy | Point of Service | 485 Norvell Rd, Corbin, KY 40701-6205 | 2016-04-09 |
| 1851693139 | Lets Stay Home | Point of Service | 136 N Crestmoor Ave, Louisville, KY 40206-2735 | 2010-11-19 |
| 1871820290 | Honor Care LLC | Point of Service | 4215 Pleasant Valley Rd, Owensboro, KY 42303-9632 | 2009-11-05 |
| 1871623520 | Fern Creek Traditional High School | Point of Service | 9115 Fern Creek Rd, Louisville, KY 40291-2711 | 2007-03-06 |
| 1740388511 | Carmen Renee Browning | Point of Service | 111 Minary Ave, Versailles, KY 40383-1329 | 2006-09-20 |
| 1285185587 | Zipclinic Urgent Care | Point of Service | 2508 Scottsville Rd, Suite 102, Bowling Green, KY 42104-4400 | 2016-10-21 |
| 1417374315 | Laurus | Point of Service | 2141 Spencer Ct, La Grange, KY 40031-6742 | 2014-03-28 |
| Find all providers with the same taxonomy | ||||
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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.