NPIMap

Organization Active NPI

R. Gary Hensley D.M.D. PA I

  • General Practice Dentistry
  • Morganton, NC
National Provider Identifier
1073697009
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7044 Issued in NC
Legal business name
R. GARY HENSLEY D.M.D. PA I
Doing business as
Dr. Gary Hensely & Associates
Practice address
500 Burkemont Ave
Morganton, NC 28655-4410
Phone
(828) 438-2880
Fax
(828) 430-7668
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mrs. Crystal Holley Harris
Title
Office Manager
Phone
(828) 438-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7044 NC Primary

Addresses

Primary practice location

500 Burkemont Ave
Morganton, NC 28655-4410

Mailing address

500 Burkemont Ave
Morganton, NC 28655-4410
Phone (828) 438-2880

Other identifiers 2

IdentifierTypeStateIssuer
89013CHMedicaidNC
8990125MedicaidNC

Other names 1

  • Dr. Gary Hensely & Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Gary Hensley Associates6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1073697009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BURKEMONT AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554410",
            "telephone_number": "828-438-2880",
            "fax_number": "828-430-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BURKEMONT AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554410",
            "telephone_number": "828-438-2880",
            "fax_number": "828-430-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. GARY HENSLEY D.M.D. PA I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "HOLLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-438-2880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013CH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990125",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Gary Hensely & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.