Samuel Scott Henry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12450 Issued in TX

Practice address

279 South Hwy 46
Seguin, TX 78155

Phone

(830) 372-2852

Fax

(830) 372-3133

NPI assigned

Jan 8, 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 names 1

• Dr. Samuel Scott Henry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Tier One Dental

  • General Practice Dentistry
  • Seguin, TX
  • NPI 1871981381
  NPD (past) Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1215085717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 SOUTH HWY 46",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-372-2852",
            "fax_number": "830-372-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 SOUTH HWY 46",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-372-2852",
            "fax_number": "830-372-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SAMUEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "HENRY",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "DDS, PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Healthconnectmd PLLC
• Heather D. Vest M.S., LPC, NCC, PLLC (The Unscripted Therapist)
• Susan Marie Heineck, M.D.
• Elizabeth Beste Henderson, M.D.
• Jennifer Gaye Hennessee, M.D.
• Dana F. Hermes, D.C.
• Melody Melinda Hernandez
• Audrea Herrera, LPC
• Candice Raven Herrera, MA, LPC-A
• Hill Country Mobile Phlebotomy, LLC

• General Practice Dentistry in Seguin, TX
• Providers in Seguin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.