Organization Active NPI

Toni L Henderson DDS Inc

  • Health Maintenance Organization
  • Beverly Hills, CA
National Provider Identifier
1053551085
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
44890 Issued in CA
Legal business name
TONI L HENDERSON DDS INC
Practice address
436 N Roxbury Dr
Suite 104
Beverly Hills, CA 90210-5026
Phone
(310) 246-1068
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Toni Lanette Henderson, DDSNPI 1578663704
Title
Dentist
Phone
(310) 246-1068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 44890 CA Primary

Addresses

Primary practice location

436 N Roxbury Dr
Suite 104
Beverly Hills, CA 90210-5026

Mailing address

436 N Roxbury Dr
Suite 104
Beverly Hills, CA 90210-5026
Phone (310) 246-1068

National Provider Directory

National Provider Directory

Locations

436 N Roxbury Dr
Ste 104
Beverly Hills, CA 90210
Phone (310) 246-1068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1053551085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR",
            "address_2": "SUITE 104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105026",
            "telephone_number": "310-246-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR",
            "address_2": "SUITE 104",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105026",
            "telephone_number": "310-246-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI L HENDERSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "LANETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-246-1068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "44890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.