James Strong Henderson IV, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

335305 Issued in MS

Practice address

6654 U S Highway 98
Hattiesburg, MS 39402-7936

Phone

(601) 264-5756

NPI assigned

May 16, 2007

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 2

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 and National Provider Directory roles.

• Pine Belt Sleep PLLC

  • Dentist
  • Hattiesburg, MS
  • NPI 1477008431
  NPD (past) Authorized official
• Terrace Hill Dental Center LLC

  • General Practice Dentistry
  • Hattiesburg, MS
  • NPI 1679580518
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1194932608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027936",
            "telephone_number": "601-264-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027936",
            "telephone_number": "601-264-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JAMES",
        "middle_name": "STRONG",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "335305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLLC TID",
            "identifier": "900714760",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "3353-05",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Henderson, PA
• Anita S Henderson, MD
• Chaquita Henderson, AGPCNP
• Charles A Henderson, MD
• Everett Randall Henderson III, M.D.
• Juliana Cran Henderson, D.M.D. M.S.
• Lanita Henderson, CIDDT
• Linell Henderson, CMHT
• Madison F Henderson, PCCSS
• Reanna Henderson, FNP-C

• Dentist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.