Active NPI
Joel B. Henriod, D.D.S.
- Periodontics
- Pasadena, CA
National Provider Identifier
1497972434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 55124
- Practice address
- 72 N Hill Ave
Pasadena, CA 91106-1905 - Phone
- (626) 796-5386
- Fax
- (626) 793-1534
- NPI assigned
- Apr 19, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 55124 | CA | Primary |
Addresses
Primary practice location
72 N Hill Ave
Pasadena, CA 91106-1905
Mailing address
72 N Hill Ave
Pasadena, CA 91106-1905
Phone (626) 796-5386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55124 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller & Henriod Dental Partnership | Periodontics | Past | Accepting new patients |
| Miller & Henriod Dental Partnership | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Pasadena, CA
- NPI 1376976985
-
- Periodontics
- Pasadena, CA
- NPI 1689946980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1497972434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 N HILL AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061905",
"telephone_number": "626-796-5386",
"fax_number": "626-793-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 N HILL AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061905",
"telephone_number": "626-796-5386",
"fax_number": "626-793-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRIOD",
"first_name": "JOEL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "55124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.