Individual provider Active NPI

Rufus Wade Hensley, D.M.D., P.A.

  • Dentist
  • Morganton, NC
National Provider Identifier
1528086428
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NC6676 Issued in NC
Practice address
918 Burkemont Ave
Morganton, NC 28655-4501
Phone
(828) 430-8334
Fax
(828) 430-6997
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NC6676 NC Primary

Addresses

Primary practice location

918 Burkemont Ave
Morganton, NC 28655-4501

Mailing address

918 Burkemont Ave
Morganton, NC 28655-4501
Phone (828) 430-8334

Other identifiers 1

IdentifierTypeStateIssuer
899003YMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20150828001371 NC Order and Referring Only - DentistPractitioner - Dentist 9537475033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
NC6676NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rick Hensley DMD, PA Dentist Past Accepting new patients
Mary Elizabeth Starnes Huffman DDS PA Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1528086428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BURKEMONT AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554501",
            "telephone_number": "828-430-8334",
            "fax_number": "828-430-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BURKEMONT AVE",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554501",
            "telephone_number": "828-430-8334",
            "fax_number": "828-430-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "RUFUS",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC6676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899003Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.