Robert Henner, DMD
Individual provider Active NPI General Practice Dentistry · Congers, NY
NPI 1023024296 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023024296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 026446 (NY)
- Practice address
- 1 Sheridan Ave
Congers, NY 10920-2011 - Phone
- (845) 268-3828
- Fax
- (845) 268-0279
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414000070 | NY | Order and Referring Only - Dentist |
0244538981 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN6823 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congers Dental Arts | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 026446 | NY | Yes |
| General Practice Dentistry | 1223G0001X | DN6823 | FL |
Addresses
Primary practice location
1 Sheridan Ave
Congers, NY 10920-2011
Mailing address
1 Sheridan Ave
Congers, NY 10920-2011
Phone (845) 268-3828
Other providers in Congers, NY
- Jeffrey Howard Goidel
- Good Day Care Center Inc
- Nancy Hales
- F Leslie Handler
- Healthcare Resources Staffing Agency
- Donna Hewitt
- Oliva J Hinojosa
- Allison Meghan Hogarty
- Hudson Valley Behavior Analsts, Inc.
- Diana F Hughes
All providers in Congers, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.