Active NPI
Toni L Henderson DDS Inc
- Health Maintenance Organization
- Beverly Hills, CA
National Provider Identifier
1053551085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 44890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Toni Lanette Henderson, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Beverly Hills, CA
- NPI 1578663704
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.