Individual provider Active NPI

Thomas Michael McHenry, DDS

  • Dentist
  • Indian Harbour Beach, FL
National Provider Identifier
1548256456
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5450 Issued in FL
Practice address
214 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874
Phone
(321) 779-8787
Fax
(321) 779-8033
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5450 FL Primary

Addresses

Primary practice location

214 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874

Mailing address

214 E Eau Gallie Blvd
Indian Harbour Beach, FL 32937-4874
Phone (321) 779-8787

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
5450FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548256456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E EAU GALLIE BLVD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374874",
            "telephone_number": "321-779-8787",
            "fax_number": "321-779-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E EAU GALLIE BLVD",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374874",
            "telephone_number": "321-779-8787",
            "fax_number": "321-779-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "5450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.