John Raleigh Hennessy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11131 Issued in MA

Practice address

2 Allen Street
Hampden, MA 01036

Phone

(413) 566-3972

Fax

(413) 566-3868

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336163757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEN STREET",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "01036",
            "telephone_number": "413-566-3972",
            "fax_number": "413-566-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEN STREET",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "01036",
            "telephone_number": "413-566-3972",
            "fax_number": "413-566-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "JOHN",
        "middle_name": "RALEIGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "11131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia M Galavotti, D.P.M.
• Kamilla Gamidova
• Valerie Gonzalez
• Hampden Health and Rehabilitation Center LLC (Pine Mountain Rehabilitation and Nursing Center)
• Judy Hatch, R.N., M.S.N, IBCLC
• Integrative Bodyworks Physical Therapy LLC
• Amanda Klink, LMHC
• Kristina Milik Kowalski, D.C.
• Danielle Love Lawrence, LMHC
• Kathleen Marie Lee

• General Practice Dentistry in Hampden, MA
• Providers in Hampden, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.