Active NPI
Lindi Henell, DDS
- Dentist
- Mountain View, CA
National Provider Identifier
1053405472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39809
- Practice address
- 100 W El Camino Real Ste 74a
Mountain View, CA 94040-2649 - Phone
- (408) 739-4560
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39809 | CA | Primary |
Addresses
Primary practice location
100 W El Camino Real Ste 74a
Mountain View, CA 94040-2649
Mailing address
100 W El Camino Real Ste 74a
Mountain View, CA 94040-2649
Phone (408) 739-4560
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39809 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Impressions, LLC | Dentist | Past | 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": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1053405472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W EL CAMINO REAL STE 74A",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402649",
"telephone_number": "408-739-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W EL CAMINO REAL STE 74A",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402649",
"telephone_number": "408-739-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENELL",
"first_name": "LINDI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "39809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.