Individual provider Active NPI

Robbie Wayne Henwood, D.D.S., PH.D

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1003825993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14062 Issued in TX
Practice address
9240 Guilbeau Rd
128
San Antonio, TX 78250-3089
Phone
(210) 681-5999
Fax
(210) 681-6061
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14062 TX Primary

Addresses

Primary practice location

9240 Guilbeau Rd
128
San Antonio, TX 78250-3089

Mailing address

6315 Pickering Dr
San Antonio, TX 78238-2338
Phone (210) 520-0510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14062TXMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Borgfeld Dental Center PLLC General Practice PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003825993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 PICKERING DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382338",
            "telephone_number": "210-520-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 GUILBEAU RD",
            "address_2": "128",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503089",
            "telephone_number": "210-681-5999",
            "fax_number": "210-681-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENWOOD",
        "first_name": "ROBBIE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.