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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIM HENDRICKS
NPI 1912582776
Radiology - Diagnostic Radiology in Las Vegas, NV

Active since March 13, 2021
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191(702) 653-2850 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 16, 2026, Mar 13, 2021 (2 updates tracked since 2021).

About Tim Hendricks NPPES

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

TIM HENDRICKS (NPI 1912582776) is an individual diagnostic radiology provider in Las Vegas, Nevada, licensed in Utah (12964222-1204) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1912582776
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTIM HENDRICKS
Location Address4700 LAS VEGAS BLVD NLas Vegas, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NLas Vegas, NV 89191-6600
Phone(702) 653-2850
Sole ProprietorYes
Enumeration DateMarch 13, 2021
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1912582776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 12964222-1204
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4700 LAS VEGAS BLVD N, Las Vegas, NV 89191
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

DR. DEBRA A KOENIGSBERGER MD
Integrative Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2267
KATRINA BAUMANN DPT
Physical Therapist (Orthopedic)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
SOUKAINA NOOR MD
Psychiatry & Neurology (Neurology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
EDWARD KEMPTON MD
Emergency Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
DR. AARON JOSEPH WOLBRUECK DO
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2273
MARIA M ARAQUE PHARMD
Pharmacist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3202
DR. SHUBHANG N MAZUMDAR M.D.
Internal Medicine
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3800
CYNTHIA SCHMIDT PH.D.
Psychologist (Clinical)
4700 LAS VEGAS BLVD N, ATTN: CREDENTIALS OFFICE
NELLIS AFB, NV 89191
Clark County (702) 653-3067

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 Tim Hendricks's NPI number?

The NPI number for Tim Hendricks is 1912582776. It was assigned to this individual provider in the NPPES registry on March 13, 2021.

Where is Tim Hendricks located?

Tim Hendricks practices at 4700 Las Vegas Blvd N, Las Vegas, NV 89191. The listed phone number is (702) 653-2850.

What is Tim Hendricks's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Tim Hendricks was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.