Deborah C, Henry, M.D., Apc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A53188 Issued in CA

Legal business name

DEBORAH C, HENRY, M.D., APC

Practice address

11 Balboa CV
Newport Beach, CA 92663-3226

Phone

(626) 390-3125

Fax

(949) 645-8788

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Christine Henry, M.D.NPI 1407879950

Title

President

Phone

(626) 390-3125

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Christine Henry, M.D.

  • Neurological Surgery Physician
  • Newport Beach, CA
  • NPI 1407879950
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619183738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3545",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598545",
            "telephone_number": "626-390-3125",
            "fax_number": "949-645-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BALBOA CV",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633226",
            "telephone_number": "626-390-3125",
            "fax_number": "949-645-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH C, HENRY, M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-390-3125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A53188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean Azzeh D.D.S. Inc (Family Orthodontics)
• Alecia Deangelis, PMHNP
• August Anthony Deangelo III
• Deanne Brown Professional Clinical Counselor PC
• Darcy Debernarde, LE, COE
• Sally E. Decastro-Tilsen, P.A.
• Carley Flam Decker, PHD
• Margaret Mary Decker, PH.D.
• Mohannad Deek
• Jodi Marie Deemer, MSN, AGPCNP

• Neurological Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.