NPIMap

Organization Active NPI

Gabriel Henao DDS, Inc

  • General Practice Dentistry
  • Canyon Country, CA
National Provider Identifier
1053731570
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55971 Issued in CA
Legal business name
GABRIEL HENAO DDS, INC
Practice address
18772 Flying Tiger Dr
Canyon Country, CA 91387
Phone
(661) 250-9600
Fax
(661) 250-9601
NPI assigned
Apr 23, 2014
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mr. Gabriel Henao, DDSNPI 1538333919
Title
President
Phone
(661) 287-4352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 55971 CA Primary

Addresses

Primary practice location

18772 Flying Tiger Dr
Canyon Country, CA 91387

Mailing address

18772 Flying Tiger Dr
Canyon Country, CA 91387
Phone (661) 250-9600

National Provider Directory

National Provider Directory
Tax ID family
Gabriel Henao DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1053731570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18772 FLYING TIGER DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "91387",
            "telephone_number": "661-250-9600",
            "fax_number": "661-250-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18772 FLYING TIGER DR",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "91387",
            "telephone_number": "661-250-9600",
            "fax_number": "661-250-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL HENAO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "HENAO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-287-4352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.