DEMI HENDRICKS DDS
NPI 1336693290
Dentist - General Practice in Davenport, IA

Q: What is Demi Hendricks's NPI number?

The NPI number for Demi Hendricks is 1336693290. It was assigned to this individual provider in the NPPES registry on August 9, 2016. The provider is also known as Demi Sides Dds.

Q: What is Demi Hendricks's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Demi Hendricks was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2016PECOS Enrolled

125 SCOTT ST, DAVENPORT, IA 52801(563) 336-3000(563) 336-3229 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2018, Aug 9, 2016 (2 updates tracked since 2016).

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About Demi Hendricks Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMI HENDRICKS DDS (NPI 1336693290) is an individual general practice provider in Davenport, Iowa, licensed in Iowa (DDS-09329) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336693290

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDEMI HENDRICKSCredential: DDS

Location Address125 SCOTT STDavenport, IA 52801-1130

Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 336-3229

Phone(563) 336-3000

Fax(563) 336-3229

Sole ProprietorNo

Enumeration DateAugust 9, 2016

Last NPPES UpdateSeptember 11, 20182 updates tracked since enumeration

✔ NPI 1336693290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · DDS-09329

Definition

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.

125 SCOTT ST, Davenport, IA 52801

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Other Names 1

Former Name (1)Demi Sides Dds

Other Identifiers 1

Medicaid1598759029IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demi Hendricks Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE RESNICK DDS

Dentist (General Practice)