NPIMap

Organization Active NPI

Henderson and Henderson DDS, Inc

  • General Practice Dentistry
  • Elyria, OH
National Provider Identifier
1255547543
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14676 Issued in OH
Legal business name
HENDERSON AND HENDERSON DDS, INC
Practice address
412 E Broad St
Elyria, OH 44035-6436
Phone
(440) 323-3339
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Gene Henderson, D.D.S.NPI 1174739411
Title
Dentist
Phone
(440) 323-3339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14676 OH Primary

Addresses

Primary practice location

412 E Broad St
Elyria, OH 44035-6436

Mailing address

412 E Broad St
Elyria, OH 44035-6436
Phone (440) 323-3339

National Provider Directory

National Provider Directory

Locations

412 E Broad St
Elyria, OH 44035
Phone (440) 323-3339

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1255547543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356436",
            "telephone_number": "440-323-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356436",
            "telephone_number": "440-323-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON AND HENDERSON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "440-323-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.