Active NPI
James Murphy Henderson Jr., DDS
- General Practice Dentistry
- West Monroe, LA
National Provider Identifier
1124245030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4785
- Practice address
- 301 McMillan Rd
West Monroe, LA 71291-5323 - Phone
- (318) 322-2332
- Fax
- (318) 322-2522
- NPI assigned
- Apr 20, 2007
- 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 | 4785 | LA | Primary |
Addresses
Primary practice location
301 McMillan Rd
West Monroe, LA 71291-5323
Mailing address
301 McMillan Rd
West Monroe, LA 71291-5323
Phone (318) 322-2332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G1490 | Other | LA | BCBS OF LOUISIANA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4785 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124245030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MCMILLAN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915323",
"telephone_number": "318-322-2332",
"fax_number": "318-322-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCMILLAN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915323",
"telephone_number": "318-322-2332",
"fax_number": "318-322-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JAMES",
"middle_name": "MURPHY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "4785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF LOUISIANA",
"identifier": "G1490",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
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.