Active NPI
C. Alan Henry, M.D.
- Specialist
- Roanoke, VA
National Provider Identifier
1134239478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1802 Electric Rd
Roanoke, VA 24018-1619 - Phone
- (540) 344-1444
- Fax
- (540) 340-8096
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | VA | Primary |
Addresses
Primary practice location
1802 Electric Rd
Roanoke, VA 24018-1619
Mailing address
1802 Electric Rd
Roanoke, VA 24018-1619
Phone (540) 344-1444
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-33455 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134239478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 ELECTRIC RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181619",
"telephone_number": "540-344-1444",
"fax_number": "540-340-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 ELECTRIC RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240181619",
"telephone_number": "540-344-1444",
"fax_number": "540-340-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "C.",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
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.