Bruce Davis Henning Jr.

Primary specialty

DentistTaxonomy code 122300000X

License

D010406 Issued in AZ

Practice address

610 N Alma School Rd Ste 4
Chandler, AZ 85224-3687

Phone

(480) 461-8683

NPI assigned

Jun 21, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of North Carolina School of Dentistry, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  AZ

  Medicare reassignment NPD
• Coronado Dental Services, Inc.

  • Dentist
  • Chandler, AZ
  • NPI 1932278025
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1487215349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243687",
            "telephone_number": "480-461-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ALMA SCHOOL RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243687",
            "telephone_number": "480-461-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "BRUCE",
        "middle_name": "DAVIS",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D010406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Melvin Hendrix Jr., D.D.S.
• Sydney Elizabeth Henkel, OTD, OTR/L
• Liam Hennessey, PT, DPT
• Stephanie Hennick, LAMFT
• Brennan Henning, DDS
• Rachael Aline Henninger, PA-C
• Henry Phan DDS, PC (Fine Dentistry)
• Brian S. Henry, D.C.
• Nicole Hensey, MS, PA-C
• Bethany Hensley

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.