Active NPI
Johana Andrea Henao Rojas, D.M.D
- Dentist
- Hershey, PA
National Provider Identifier
1174973010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040826
- Practice address
- 1135 E Chocolate Ave
Hershey, PA 17033-1220 - Phone
- (717) 534-1135
- NPI assigned
- Jun 21, 2016
- Last updated
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS040826 | PA | Primary |
| General Practice Dentistry | 1223G0001X | DS040826 | PA |
Addresses
Primary practice location
1135 E Chocolate Ave
Hershey, PA 17033-1220
Mailing address
119 Harmony Rd
Levittown, PA 19056-1436
Phone (215) 908-2232
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 |
|---|---|---|---|
| DS040826 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiju Dental PC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1174973010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 HARMONY RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190561436",
"telephone_number": "215-908-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 E CHOCOLATE AVE",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170331220",
"telephone_number": "717-534-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENAO ROJAS",
"first_name": "JOHANA",
"middle_name": "ANDREA",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040826",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS040826",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.