NPIMap

Organization Active NPI

Henseler Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Woodbury, MN
National Provider Identifier
1407309784
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10804 Issued in MN
Legal business name
HENSELER ORTHODONTICS
Practice address
1000 Radio Dr
Suite 220
Woodbury, MN 55125-8409
Phone
(651) 739-1555
Fax
(651) 739-1556
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Steven John Henseler, DDS, PANPI 1528128436
Title
DDS Orthodontist
Phone
(651) 739-1555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 10804 MN Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X D12265 MN

Addresses

Primary practice location

1000 Radio Dr
Suite 220
Woodbury, MN 55125-8409

Mailing address

1000 Radio Dr
Suite 220
Woodbury, MN 55125-8409
Phone (651) 739-1555

National Provider Directory

National Provider Directory
Tax ID family
Henseler Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Radio Dr
Ste 220
Woodbury, MN 55125
Phone (651) 739-1555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1407309784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RADIO DR",
            "address_2": "SUITE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258409",
            "telephone_number": "651-739-1555",
            "fax_number": "651-739-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RADIO DR",
            "address_2": "SUITE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258409",
            "telephone_number": "651-739-1555",
            "fax_number": "651-739-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSELER ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "HENSELER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DDS ORTHODONTIST",
        "authorized_official_telephone_number": "651-739-1555",
        "authorized_official_credential": "DDS, PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "10804",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D12265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.