Individual provider Active NPI

Douglas John Henschel, D.D.S.

  • General Practice Dentistry
  • Shillington, PA
National Provider Identifier
1124096268
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS019473-L Issued in PA
Practice address
122 W Lancaster Ave
Suite 107
Shillington, PA 19607-1881
Phone
(610) 777-6549
Fax
(610) 777-6683
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS019473-L PA Primary

Addresses

Primary practice location

122 W Lancaster Ave
Suite 107
Shillington, PA 19607-1881

Mailing address

122 W Lancaster Ave
Suite 107
Shillington, PA 19607-1881
Phone (610) 777-6549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210719001433 PA Order and Referring Only - DentistPractitioner - Dentist 6608279393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019473-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124096268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE",
            "address_2": "SUITE 107",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071881",
            "telephone_number": "610-777-6549",
            "fax_number": "610-777-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W LANCASTER AVE",
            "address_2": "SUITE 107",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196071881",
            "telephone_number": "610-777-6549",
            "fax_number": "610-777-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSCHEL",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019473-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.