NPIMap

Organization Active NPI

Brett R. Henson, DDS, PA

  • Dental Clinic/Center
  • Salisbury, NC
National Provider Identifier
1356860324
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10610 Issued in NC
Legal business name
BRETT R. HENSON, DDS, PA
Practice address
640 Statesville Blvd Ste 3
Salisbury, NC 28144-2215
Phone
(704) 637-3636
Fax
(704) 637-3184
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Dr. Brett R. Henson, DDSNPI 1790165488
Title
President/Owner
Phone
(704) 637-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10610 NC Primary

Addresses

Primary practice location

640 Statesville Blvd Ste 3
Salisbury, NC 28144-2215

Mailing address

640 Statesville Blvd Ste 3
Salisbury, NC 28144-2215
Phone (704) 637-3636

National Provider Directory

National Provider Directory

Locations

640 Statesville Blvd
Ste 3
Salisbury, NC 28144
Phone (704) 637-3636

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1356860324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 STATESVILLE BLVD STE 3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442215",
            "telephone_number": "704-637-3636",
            "fax_number": "704-637-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 STATESVILLE BLVD STE 3",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442215",
            "telephone_number": "704-637-3636",
            "fax_number": "704-637-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT R. HENSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-637-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "10610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.