Aubrey J Henshaw III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

75227 Issued in OK

Practice address

611 W Ruth Ave
Sallisaw, OK 74955-6866

Phone

(918) 775-4431

Fax

(918) 775-4432

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aubrey J Henshaw III DDS PC

  • Dental Clinic/Center
  • Sallisaw, OK
  • NPI 1205404399
  NPD Authorized official
• Aubrey J Henshaw III

  • General Practice Dentistry
  • Sallisaw, OK
  • NPI 1124293782
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1376562637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550708",
            "telephone_number": "918-775-4431",
            "fax_number": "918-775-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W RUTH AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749556866",
            "telephone_number": "918-775-4431",
            "fax_number": "918-775-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "AUBREY",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "75227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132280B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn Hathcoat, CADC US
• Hays House, LLC
• Healthcare Unlimited LLC
• John Hembree
• Brandi Jean Henry
• Michele Hensley, RN
• Bridget Lanelle Hicks
• Thomas John Hicks
• Magen Hill
• Vickey Hodge

• General Practice Dentistry in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.