Jonathan Shane Hensley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

7602 Issued in KY

Practice address

126 Trivette Dr Ste 103
Pikeville, KY 41501-1275

Phone

(606) 433-1488

Fax

(606) 433-1487

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1629168349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 TRIVETTE DR STE 103",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011275",
            "telephone_number": "606-433-1488",
            "fax_number": "606-433-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 TRIVETTE DR STE 103",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011275",
            "telephone_number": "606-433-1488",
            "fax_number": "606-433-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "JONATHAN",
        "middle_name": "SHANE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60000353",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L. Helfen, AUD
• Jessica Lee Helvey, MS OTR L
• Brookelynn Hensley, D.O.
• Jeana Hensley, PMHNP-BC
• Johanna Lura Hensley, D.C.
• Joshua Hensley, MD
• Tiffany Danielle Hensley, CRNA
• Eric L Herrell, CRNA
• Gresha Hess, R.N.
• Martha K. Hettinger, LCSW

• Dentist in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.