Active NPI
Tom M Henslee, DPM
- Foot & Ankle Surgery Podiatrist
- Denison, TX
National Provider Identifier
1437136504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1116
- Practice address
- 1302 North State Hwy 91
Denison, TX 75020-1167 - Phone
- (903) 465-1054
- Fax
- (903) 327-8023
- NPI assigned
- Dec 29, 2005
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1116 | TX | Primary |
Addresses
Primary practice location
1302 North State Hwy 91
Denison, TX 75020-1167
Mailing address
1302 North State Hwy 91
Denison, TX 75020-1167
Phone (903) 465-1054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018692601 | Medicaid | TX | |
| TXB113323 | Other | TX | TEXAS MEDICARE |
Other names 1
- Dr. Tommy Max Henslee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 30, 2014 through Jan 30, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1116 | TX | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1437136504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 NORTH STATE HWY 91",
"city": "DENISON",
"state": "TX",
"postal_code": "750201167",
"telephone_number": "903-465-1054",
"fax_number": "903-327-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 NORTH STATE HWY 91",
"city": "DENISON",
"state": "TX",
"postal_code": "750201167",
"telephone_number": "903-465-1054",
"fax_number": "903-327-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEE",
"first_name": "TOM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018692601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICARE",
"identifier": "TXB113323",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TOMMY",
"last_name": "HENSLEE",
"middle_name": "MAX",
"prefix": "DR.",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.