Roger Hennigh, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401410987 Issued in VA

Practice address

3320 Noble Pond Way
Suite 109
Woodbridge, VA 22193-1469

Phone

(703) 640-1000

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alan H. Golden, D.D.S. & Roger a. Hennigh, D.M.D., P.C.

  • Pediatric Dentistry
  • Woodbridge, VA
  • NPI 1912037300

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• Golden Dental Associates, P.C.

  • Pediatric Dentistry
  • Burke, VA
  • NPI 1891825741

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1033217765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 NOBLE POND WAY",
            "address_2": "SUITE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931469",
            "telephone_number": "703-640-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 NOBLE POND WAY",
            "address_2": "SUITE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931469",
            "telephone_number": "703-640-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGH",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401410987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Hemphill
• Carita Henderson
• Taylor Monet Henderson
• Abigirl Amoako Hene
• Cynthia Hennigh, APRN-BC, CFNP
• Henry a McCleary DC LLC
• Patricia Ava-Gay-E Tanish Henry Taylor I
• Herald Healthcare LLC
• Herald Healthcare Support Services LLC
• Herana Services LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.