NPIMap

Individual provider Active NPI

Jason Hencler, DMD

  • Pediatric Dentistry
  • Taunton, MA
National Provider Identifier
1083906341
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN1855848 Issued in MA
Practice address
104 Dean St
#103
Taunton, MA 02780-5403
Phone
(508) 692-9548
NPI assigned
May 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DEN03114 RI
Pediatric Dentistry 1223P0221X DN1855848 MA Primary

Addresses

Primary practice location

104 Dean St
#103
Taunton, MA 02780-5403

Mailing address

104 Dean St
#103
Taunton, MA 02780-5403
Phone (508) 692-9548

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

LicenseStateTypeSpecialty
DN1855848MAMDPediatric Dentist
DEN03114RIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dental Anesthesia Associates, PLLC Past Accepting new patients
Oral Surgery Plus, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1083906341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DEAN ST",
            "address_2": "#103",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805403",
            "telephone_number": "508-692-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DEAN ST",
            "address_2": "#103",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805403",
            "telephone_number": "508-692-9548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENCLER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "DEN03114",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1855848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.