Charles Patrick Henry, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6673 Issued in IA

Practice address

105 N. Lydia Street
Ossian, IA 52161

Phone

(563) 532-9860

Fax

(563) 532-8930

NPI assigned

Feb 1, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316085459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "OSSIAN",
            "state": "IA",
            "postal_code": "521610299",
            "telephone_number": "563-532-9860",
            "fax_number": "563-532-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. LYDIA STREET",
            "city": "OSSIAN",
            "state": "IA",
            "postal_code": "52161",
            "telephone_number": "563-532-9860",
            "fax_number": "563-532-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHARLES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007872",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gundersen Clinic, LTD.
• Ossian Senior Hospice Incorporated (Ossian Senior Hospice)
• Winneshiek Medical Center (WinnMed Ossian Clinic)

• General Practice Dentistry in Ossian, IA
• Providers in Ossian, IA by specialty
• General Practice Dentistry in Iowa

• 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.