Individual provider Active NPI

Fernanda Leslie Hensley, DMD

  • Dentist
  • Gallatin, TN
National Provider Identifier
1093823585
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TN5029 Issued in TN
Practice address
158 A Albert Gallatin Ave
Gallatin, TN 37066-2085
Phone
(615) 452-0236
Fax
(615) 230-7768
NPI assigned
Aug 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TN5029 TN Primary

Addresses

Primary practice location

158 A Albert Gallatin Ave
Gallatin, TN 37066-2085

Mailing address

158 A Albert Gallatin Ave
Gallatin, TN 37066-2085
Phone (615) 452-0236

Other names 1

  • Miss Fernanda Cordle Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20141204001136 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537481460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN5029TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fernanda L Hensley,DMD.PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093823585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 A ALBERT GALLATIN AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662085",
            "telephone_number": "615-452-0236",
            "fax_number": "615-230-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 A ALBERT GALLATIN AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662085",
            "telephone_number": "615-452-0236",
            "fax_number": "615-230-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "FERNANDA",
        "middle_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "TN5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDA",
            "last_name": "CORDLE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.