Grant Douglas Hensley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS004818 Issued in TN

Practice address

114 Rand PL
Franklin, TN 37064-5531

Phone

(615) 794-1546

Fax

(615) 794-1547

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CD Tennessee Dental, P.C.

  dba Radiant Smiles Dentistry

  • General Practice Dentistry
  • Franklin, TN
  • NPI 1699324194
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194855015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RAND PL",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645531",
            "telephone_number": "615-794-1546",
            "fax_number": "615-794-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RAND PL",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645531",
            "telephone_number": "615-794-1546",
            "fax_number": "615-794-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "GRANT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS004818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor James Henry, FNP
• Elizabeth Raftis Henry
• Grace Virginia Henry
• Kim Cornett Henry, RN, BA, MA-STUDENT
• Travis Arness Henry, PT, DPT
• Donna Mechelle Henson Young, SLP-CCC
• Christie Renee Henson, PTA
• Heops Inc (CENTIPEDE Health Network)
• Melissa Herb, LCSW
• Laura P. Herbert, LDN

• General Practice Dentistry in Franklin, TN
• Providers in Franklin, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.