Individual provider Active NPI

Martha L McHenry, RD, LD, CDE

  • Registered Dietitian
  • Dallas, TX
National Provider Identifier
1144245309
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07290 Issued in TX
Practice address
8330 Lyndon B Johnson Fwy
Suite B650
Dallas, TX 75243-1166
Phone
(469) 619-6921
Fax
(800) 888-9560
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT07290 TX Primary

Addresses

Primary practice location

8330 Lyndon B Johnson Fwy
Suite B650
Dallas, TX 75243-1166

Mailing address

8330 Lyndon B Johnson Fwy
Suite B650
Dallas, TX 75243-1166
Phone (469) 619-6921

Other identifiers 1

IdentifierTypeStateIssuer
1144245309OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050910000099 TX Practitioner - Registered Dietitian Or Nutrition Professional 3476585449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 E Sonterra Blvd
Suite 375
San Antonio, TX 78258-4321
Phone (469) 619-6921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Plate Nutrition, LLC Dietitian, Registered CurrentSince Jun 1, 2018 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients
Topcare Medical Group Inc Past Accepting new patients
Healthy Changes Inc Dietitian, Registered Past Accepting new patients

Locations

8330 Lyndon B Johnson Fwy
Ste B601
Dallas, TX 75243
Phone (469) 619-6921

8330 Lyndon B Johnson Fwy
Ste B650
Dallas, TX 75243
Phone (469) 619-6921

8330 Lyndon B Johnson Fwy
Dallas, TX 75243
Phone (469) 487-7744

401 E Sonterra Blvd
Ste 375
San Antonio, TX 78258
Phone (210) 325-6874

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1144245309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LYNDON B JOHNSON FWY",
            "address_2": "SUITE B650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431166",
            "telephone_number": "469-619-6921",
            "fax_number": "800-888-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LYNDON B JOHNSON FWY",
            "address_2": "SUITE B650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431166",
            "telephone_number": "469-619-6921",
            "fax_number": "800-888-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144245309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.