Individual provider Active NPI

John Allen Hendy, D.D.S.

  • General Practice Dentistry
  • Grants Pass, OR
National Provider Identifier
1245363985
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D716 Issued in OR
Practice address
1501 NE 6TH St
Suite 1a
Grants Pass, OR 97526-1034
Phone
(541) 479-5505
Fax
(541) 479-7891
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D716 OR Primary

Addresses

Primary practice location

1501 NE 6TH St
Suite 1a
Grants Pass, OR 97526-1034

Mailing address

1501 NE 6TH St
Suite 1a
Grants Pass, OR 97526-1034
Phone (541) 479-5505

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

LicenseStateTypeSpecialty
D716ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245363985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE 6TH ST",
            "address_2": "SUITE 1A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261034",
            "telephone_number": "541-479-5505",
            "fax_number": "541-479-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NE 6TH ST",
            "address_2": "SUITE 1A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261034",
            "telephone_number": "541-479-5505",
            "fax_number": "541-479-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDY",
        "first_name": "JOHN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • 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.