Daniel Macon Henderson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0007081C1 Issued in AL

Practice address

111 N 16TH St
Opelika, AL 36801-5655

Phone

(334) 745-3563

Fax

(334) 745-3566

NPI assigned

Jul 10, 2022

Last updated

Jul 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gamotis Dental Holdings Inc

  dba Robert D Gamotis DMD

  • Dental Clinic/Center
  • Opelika, AL
  • NPI 1356763023
  NPD (past)
• Howard E Rearden, DMD, PC

  • Dental Clinic/Center
  • Opelika, AL
  • NPI 1639507049
  NPD (past)

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1578297230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 CLAIRMONT CIR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306630",
            "telephone_number": "334-488-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 16TH ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015655",
            "telephone_number": "334-745-3563",
            "fax_number": "334-745-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DANIEL",
        "middle_name": "MACON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D0007081C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearth & Harbor Wellness LLC
• Heath Harvey's Inc. of Alabama
• Phillip M Heidepriem, MD
• Jill Elaine Heitzman, DPT
• Eric Johan Hemberg, MD
• Henegar Counseling, LLC
• Hiram Henegar, LPC
• Latrica Yvonne Henegar, LPC-S, NCC, ACGC-III
• Katie Henricks
• Herring Spine & Rehab, Inc.

• General Practice Dentistry in Opelika, AL
• Providers in Opelika, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.