Active NPI
James Allen Henson Jr., D.D.S.
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1093734337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9314
- Practice address
- 1690 Powder Springs Rd SW
Suite 210
Marietta, GA 30064-4844 - Phone
- (770) 422-9925
- Fax
- (770) 499-0706
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9314 | GA | Primary |
Addresses
Primary practice location
1690 Powder Springs Rd SW
Suite 210
Marietta, GA 30064-4844
Mailing address
1690 Powder Springs Rd SW
Suite 210
Marietta, GA 30064-4844
Phone (770) 422-9925
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093734337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 POWDER SPRINGS RD SW",
"address_2": "SUITE 210",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644844",
"telephone_number": "770-422-9925",
"fax_number": "770-499-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 POWDER SPRINGS RD SW",
"address_2": "SUITE 210",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644844",
"telephone_number": "770-422-9925",
"fax_number": "770-499-0706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "JAMES",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "9314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.