Richard Glenn Henry, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

4975 Issued in OK

Practice address

112 Val Verde St
Suite a
Altus, OK 73521-1190

Phone

(580) 482-0441

Fax

(580) 482-0443

NPI assigned

Jun 27, 2006

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 OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487681011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 QUAIL RUN N",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735219783",
            "telephone_number": "580-482-1643",
            "fax_number": "580-482-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 VAL VERDE ST",
            "address_2": "SUITE A",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735211190",
            "telephone_number": "580-482-0441",
            "fax_number": "580-482-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "RICHARD",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Watch Health Care of Altus, LLC
• Healthwatch Health Care, LLC
• Glenda D Hebensperger, M.S., CCC-SLP
• Wallace Heller, MD
• Hannah Elizabeth Henry, DDS
• Alexandra E Hernandez, DDS
• Veronica Hershey, PT
• Heather Hill, B.B.A.
• Jamie L Hokett, M.D.
• Genevieve L Holman, PHARMD

• Dentist in Altus, OK
• Providers in Altus, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.