Brian Thomas Henry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010156A Issued in IN

Practice address

1709 Teal Rd
Lafayette, IN 47905-2549

Phone

(765) 477-6487

Fax

(765) 477-6488

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Lindsey and Henry Dentistry Partnership

  dba Tecumseh Dental Center

  • Dentist
  • Lafayette, IN
  • NPI 1770799587
  NPD (past) Authorized official
• Lindsey & Henry Dentistry Partnership

  dba Tecumseh Dental Center

  • General Practice Dentistry
  • Lafayette, IN
  • NPI 1518004928
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083778807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 TEAL RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052549",
            "telephone_number": "765-477-6487",
            "fax_number": "765-477-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 TEAL RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052549",
            "telephone_number": "765-477-6487",
            "fax_number": "765-477-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010156A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyanne Hendren
• Hillary Hendrick
• Jason Paul Hendrick, MD
• Kristin Nicole Henrich, PHARMD
• Brett A Henrikson, D.D.S.
• Lesha Henry, CST
• Mary Henry, CST
• Stephen Henson, MD
• Michelle B Herberts, MD
• Melissa Herchenroeder

• General Practice Dentistry in Lafayette, IN
• Providers in Lafayette, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.