NPIMap

Organization Active NPI

Dr Stephen R. Henry, DDS PC

  • Dentist
  • Washington TWP, MI
National Provider Identifier
1134491103
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16538 Issued in MI
Legal business name
DR STEPHEN R. HENRY, DDS PC
Practice address
57911 Van Dyke Rd
Suite B
Washington TWP, MI 48094-2763
Phone
(586) 781-6700
Fax
(586) 781-6819
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Stephen R Henry, DDS
Title
Dentist
Phone
(586) 781-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 16538 MI Primary

Addresses

Primary practice location

57911 Van Dyke Rd
Suite B
Washington TWP, MI 48094-2763

Mailing address

PO Box 660
Washington TWP, MI 48094-0660
Phone (586) 781-6700

National Provider Directory

National Provider Directory

Locations

57911 Van Dyke Rd
Ste B
Washington Twp, MI 48094
Phone (586) 781-6700

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1134491103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480940660",
            "telephone_number": "586-781-6700",
            "fax_number": "586-781-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57911 VAN DYKE RD",
            "address_2": "SUITE B",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480942763",
            "telephone_number": "586-781-6700",
            "fax_number": "586-781-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR STEPHEN R. HENRY, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "586-781-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "16538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.