Active NPI
Kristanya Henson, DDS
- Dentist
- Temple Terrace, FL
National Provider Identifier
1346326519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18394
- Practice address
- 6985 E Fowler Ave
Temple Terrace, FL 33617-1714 - Phone
- (813) 988-9800
- Fax
- (813) 988-9300
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18394 | FL | Primary |
Addresses
Primary practice location
6985 E Fowler Ave
Temple Terrace, FL 33617-1714
Mailing address
6985 E Fowler Ave
Temple Terrace, FL 33617-1714
Phone (813) 988-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001142600 | Medicaid | FL | |
| 019027189 | Medicaid | IL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN18394 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358640000000",
"number": "1346326519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6985 E FOWLER AVE",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171714",
"telephone_number": "813-988-9800",
"fax_number": "813-988-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6985 E FOWLER AVE",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171714",
"telephone_number": "813-988-9800",
"fax_number": "813-988-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "KRISTANYA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2013-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001142600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019027189",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.