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KELLY HENDRICKS
NPI 1457773384
Dentist - Pediatric Dentistry in Santa Fe, NM

Active since January 13, 2014
1439 S SAINT FRANCIS DR, SANTA FE, NM 87505(505) 473-5437 Get Directions Write a Review

NPPES record last updated: May 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2019, Jun 25, 2018 (2 updates tracked since 2018).

About Kelly Hendricks NPPES

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

KELLY HENDRICKS (NPI 1457773384) is an individual pediatric dentistry provider in Santa Fe, New Mexico, licensed in New Mexico (DD4219) and active in the NPI registry since January 2014. He maintains a secondary practice location in Santa Fe.

NPPES Registry Identity

NPI1457773384
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameKELLY HENDRICKS
Location Address1439 S SAINT FRANCIS DRSanta Fe, NM 87505
Mailing Address1439 S Saint Francis DrSanta Fe, NM 87505-4037
Phone(505) 473-5437
Sole ProprietorNo
Enumeration DateJanuary 13, 2014
Last NPPES UpdateMay 2, 20192 updates tracked since enumeration
✔ NPI 1457773384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in NM · DD4219✔ Licensed in OR · D10994
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1439 S SAINT FRANCIS DR, Santa Fe, NM 87505
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Secondary Practice Location 1

Location 11439 S Saint Francis DrSanta Fe, NM 87505 · Phone (505) 473-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

JADE VIGIL DDS
Dentist (General Practice)
1439 S SAINT FRANCIS DR
SANTA FE, NM 87505
Santa Fe County (505) 473-5437
DR. KRISTIN WAYNE HENDRICKS DDS
Dentist (Pediatric Dentistry)
1439 S SAINT FRANCIS DR
SANTA FE, NM 87505
Santa Fe County (505) 473-5437
DR. JACKY LUNG
Dentist (Orthodontics and Dentofacial Orthopedics)
1439 S SAINT FRANCIS DR
SANTA FE, NM 87505
Santa Fe County (505) 473-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Hendricks's NPI number?

The NPI number for Kelly Hendricks is 1457773384. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Where is Kelly Hendricks located?

Kelly Hendricks practices at 1439 S Saint Francis Dr, Santa Fe, NM 87505. The listed phone number is (505) 473-5437.

What is Kelly Hendricks's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kelly Hendricks accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Kelly Hendricks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Hendricks was last updated on May 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.