Daniel Henrich, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09091 Issued in IA

Practice address

1260 3Rd Ave. SE,
Cedar Rapids, IA 52403-4001

Phone

(319) 540-8326

NPI assigned

Jun 24, 2014

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

Medicare fee-for-service enrollment

Enrolled in IA

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

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1194130690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 29TH ST NW APT 6",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524051266",
            "telephone_number": "641-420-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 3RD AVE. SE,",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524034001",
            "telephone_number": "319-540-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Hendricks, MS, LMHC, LCPC, CADC
• Michaela Henneberry, DNP, ARNP, FNP-C
• Bethany Henning
• Adrieonna Hennings
• Lynn Hennings
• Stephanie Henrickson, MSN, RN, FNP-C
• David Allan Henry, MD
• Jordan Henry, PA-C
• Mary Jo Henry, ARNP
• Roy Eugene Henry, ARNP

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.