William Grant Hennigar Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30725 Issued in NY

Practice address

2025 Whitehaven Rd
Grand Island, NY 14072

Phone

(716) 773-1990

Fax

(716) 773-2280

NPI assigned

Apr 25, 2007

Last updated

Jan 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Hennigar & Hennigar DMD, PC

  dba American Family Dental Group

  • Dental Clinic/Center
  • Grand Island, NY
  • NPI 1720747272
  NPD Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1164641429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "address_2": "2025 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140720574",
            "telephone_number": "716-773-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "14072",
            "telephone_number": "716-773-1990",
            "fax_number": "716-773-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAR",
        "first_name": "WILLIAM",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "30725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felecia Hanesworth, M.S. ED. TSHH, SBL
• Cynthia Hanna
• Crystal Harding
• Laura Marie Hayden, MS ED
• Hennigar & Hennigar DMD, PC (American Family Dental Group)
• Danielle Renee Henningham
• Marissa Hillman
• Holly House
• Julia Mae Houseknecht, PHARM D
• Pablo Hurtado, LCSW

• General Practice Dentistry in Grand Island, NY
• Providers in Grand Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.