Brittany Henderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416560 Issued in VA

Practice address

1425 S Eads St # C
Arlington, VA 22202-2847

Phone

(571) 210-4747

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

Yes

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.

• Springfield Dental Group, PC

  • Dentist
  • Springfield, VA
  • NPI 1053823336
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1053978023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 GREELEY BLVD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523014",
            "telephone_number": "703-992-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S EADS ST # C",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022847",
            "telephone_number": "571-210-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8056 Rolling Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221532928",
            "country_code": "US",
            "telephone_number": "571-295-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRITTANY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Renee Heim, M.D.
• Abbey Heimbach, OTD, OTR/L
• Kelly Deneen Heinzman, MED LPC LMFT
• Sheila Rose Heller, NP-C
• Diane J. Hendel, NP-C
• Susan K Hendricks, MD
• Bridgid Hanley Hendrixson, CCC-SLP
• Henry L Danaceau, MD LTD
• Channa Henry Moore
• Christopher P Henry, DDS

• General Practice Dentistry in Arlington, VA
• Providers in Arlington, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.