Active NPI
Daryl Glenn Henley, D.D.S.
- General Practice Dentistry
- Cypress, TX
National Provider Identifier
1366715641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12362
- Practice address
- 11530 Grant Rd
Cypress, TX 77429-5861 - Phone
- (281) 890-6966
- Fax
- (281) 870-7907
- NPI assigned
- Feb 16, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12362 | TX | Primary |
Addresses
Primary practice location
11530 Grant Rd
Cypress, TX 77429-5861
Mailing address
11530 Grant Rd
Cypress, TX 77429-5861
Phone (281) 890-6966
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": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1366715641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11530 GRANT RD",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295861",
"telephone_number": "281-890-6966",
"fax_number": "281-870-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11530 GRANT RD",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295861",
"telephone_number": "281-890-6966",
"fax_number": "281-870-7907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "DARYL",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "12362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.