Active NPI
Michael Christopher Henry, IDHS
- Independent Duty Corpsman
- Washington, DC
National Provider Identifier
1336124262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 2703 Martin Luther King Jr Ave SE
Washington, DC 20593-0001 - Phone
- (202) 372-4100
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
2703 Martin Luther King Jr Ave SE
Washington, DC 20593-0001
Mailing address
2703 Martin Luther King Jr Ave SE Stop 7201
Washington, DC 20593-7201
Phone (202) 372-4100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1336124262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 MARTIN LUTHER KING JR AVE SE STOP 7201",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205937201",
"telephone_number": "202-372-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 MARTIN LUTHER KING JR AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205930001",
"telephone_number": "202-372-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "IDHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.