Active NPI
Brett Houston Henderson, D.M.D., M.S.D.
- Pediatric Dentistry
- Hendersonville, TN
National Provider Identifier
1164894044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 10288
- Practice address
- 410 N Parrish PL Ste 1000
Hendersonville, TN 37075-1003 - Phone
- (615) 824-1700
- NPI assigned
- Oct 30, 2015
- Last updated
- Sep 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1316 | OK | |
| Dentist | 122300000X | 10288 | TN | |
| Pediatric Dentistry | 1223P0221X | 10288 | TN | Primary |
Addresses
Primary practice location
410 N Parrish PL Ste 1000
Hendersonville, TN 37075-1003
Mailing address
410 N Parrish PL Ste 1000
Hendersonville, TN 37075-1003
Phone (615) 824-1700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10288 | TN | MD | Social Worker |
| 1316 | OK | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1164894044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N PARRISH PL STE 1000",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370751003",
"telephone_number": "615-824-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N PARRISH PL STE 1000",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370751003",
"telephone_number": "615-824-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "BRETT",
"middle_name": "HOUSTON",
"credential": "D.M.D., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-30",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "1316",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10288",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "10288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.