Active NPI
Chauncey Allan Hensley, DMD
- Pediatric Dentistry
- Murfreesboro, TN
National Provider Identifier
1063005106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12127
- Practice address
- 277 Veterans Pkwy Ste a
Murfreesboro, TN 37128-1077 - Phone
- (615) 713-1993
- NPI assigned
- Feb 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12127 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 12127 | TN | Primary |
Addresses
Primary practice location
277 Veterans Pkwy Ste a
Murfreesboro, TN 37128-1077
Mailing address
2406 Blue Heron Dr
Murfreesboro, TN 37128-1838
Phone (480) 466-5020
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 |
|---|---|---|---|
| 12127 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Smiles Pediatric Dentistry PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Spark Dental TN, PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Shelbyville, TN
- NPI 1033078647
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Smyrna, TN
- NPI 1154087120
Pediatric Dentistry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1063005106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 BLUE HERON DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371281838",
"telephone_number": "480-466-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 VETERANS PKWY STE A",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371281077",
"telephone_number": "615-713-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "CHAUNCEY",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12127",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "12127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.