NPIMap

Organization Active NPI

Hennessey Family Dentistry PC

  • General Practice Dentistry
  • Cedar Falls, IA
National Provider Identifier
1508180464
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07647 Issued in IA
Legal business name
HENNESSEY FAMILY DENTISTRY PC
Practice address
9219 University Ave
Cedar Falls, IA 50613-9150
Phone
(319) 266-1906
Fax
(319) 266-1411
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Anne Norene Hennessey, DDSNPI 1568549004
Title
Owner
Phone
(319) 266-1906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 07647 IA Primary

Addresses

Primary practice location

9219 University Ave
Cedar Falls, IA 50613-9150

Mailing address

9219 University Ave
Cedar Falls, IA 50613-9150
Phone (319) 266-1906

National Provider Directory

National Provider Directory

Locations

9219 University Ave
Cedar Falls, IA 50613
Phone (319) 266-1906

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1508180464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 UNIVERSITY AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506139150",
            "telephone_number": "319-266-1906",
            "fax_number": "319-266-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 UNIVERSITY AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506139150",
            "telephone_number": "319-266-1906",
            "fax_number": "319-266-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNESSEY FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "NORENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-266-1906",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.