Aubrey J Henshaw III

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

75227 Issued in OK

Legal business name

AUBREY J HENSHAW III

Practice address

201 S Oak St
Sallisaw, OK 74955-6209

Phone

(918) 775-4431

Fax

(918) 775-4432

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aubrey J Henshaw, DDSNPI 1376562637

Title

Dentist

Phone

(918) 775-4431

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sout oak dental care Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aubrey J Henshaw III, D.D.S.

  • General Practice Dentistry
  • Sallisaw, OK
  • NPI 1376562637
  NPD (past) Authorized official

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1124293782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550708",
            "telephone_number": "918-775-4431",
            "fax_number": "918-775-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S OAK ST",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556209",
            "telephone_number": "918-775-4431",
            "fax_number": "918-775-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBREY J HENSHAW III",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HENSHAW",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "918-775-4431",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "75227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132280B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sout oak dental care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alternacare, Inc (Alternacare of Sallisaw)
• Jamilei Michelle Alworden Long
• Judith Anderson, CADC
• Jerry D Anglin
• Molly Marie Asher, DPT
• Aubrey J Henshaw III DDS PC (Aesthetic Dental Institute)
• Atalia Mejia Auld
• Jarrett Carlton Bailey
• William Dean Balfour-Grice, D.PH.
• Caroline Nicole Barker

• General Practice Dentistry in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.