Joshua Henzler

Primary specialty

DentistTaxonomy code 122300000X

License

DS039959 Issued in PA

Practice address

151 Main St
Watsontown, PA 17777-1706

Phone

(570) 538-5533

NPI assigned

May 27, 2014

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 PA

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

Practice roles

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.

• Henzler Dental PLLC

  • Dental Clinic/Center
  • Buckhannon, WV
  • NPI 1669268769
  NPD Authorized official
• Watsontown Dental

  • General Practice Dentistry
  • Watsontown, PA
  • NPI 1811766298
  NPD (past)
• Watsontown Dental, P.C.

  • Dentist
  • Watsontown, PA
  • NPI 1710302559
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1497167316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177771706",
            "telephone_number": "570-538-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177771706",
            "telephone_number": "570-538-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENZLER",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Fisher II D.C. PLLC
• Kyleigh Dietterick
• Cory Tyrone Douglas
• Jeffrey David Feerrar, MPT
• Ashleigh Mae Permar Flowers, DPT
• Christopher J. Herbster, P.T.
• Jonelle Elizabeth Holmes, PT
• Anthony Broch Irvine
• Carl Sees Jenkins, DDS MS FAGD
• Keystone Care Physical Therapy, Inc.

• Dentist in Watsontown, PA
• Providers in Watsontown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.