Individual provider Active NPI

David Henen, DMD

  • General Practice Dentistry
  • North Canton, OH
National Provider Identifier
1508540139
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027268 Issued in OH
Practice address
1225 S Main St Ste a
North Canton, OH 44720-4247
Phone
(330) 497-7302
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027268 OH Primary

Addresses

Primary practice location

1225 S Main St Ste a
North Canton, OH 44720-4247

Mailing address

4300 Belden Greens Cir NW Unit C
Canton, OH 44718-1698
Phone (216) 659-3910

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

LicenseStateTypeSpecialty
30.027268OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Farinacci D.D.S., P.C. CurrentSince Feb 4, 2024 Accepting new patients

Locations

1225 S Main St
Ste A
North Canton, OH 44720
Phone (330) 497-7302

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1508540139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BELDEN GREENS CIR NW UNIT C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181698",
            "telephone_number": "216-659-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S MAIN ST STE A",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204247",
            "telephone_number": "330-497-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEN",
        "first_name": "DAVID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.