Individual provider Active NPI

Henry Honick III, D.D.S.

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1316160716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11063 Issued in MD
Practice address
4367 Hollins Ferry Rd
Suite 4C
Baltimore, MD 21227-3400
Phone
(410) 536-7279
Fax
(410) 536-1007
NPI assigned
Apr 11, 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 11063 MD Primary

Addresses

Primary practice location

4367 Hollins Ferry Rd
Suite 4C
Baltimore, MD 21227-3400

Mailing address

4367 Hollins Ferry Rd
Suite 4C
Baltimore, MD 21227-3400
Phone (410) 536-7279

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
11063MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316160716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4367 HOLLINS FERRY RD",
            "address_2": "SUITE 4C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273400",
            "telephone_number": "410-536-7279",
            "fax_number": "410-536-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4367 HOLLINS FERRY RD",
            "address_2": "SUITE 4C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212273400",
            "telephone_number": "410-536-7279",
            "fax_number": "410-536-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONICK III",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

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.