Michael W Henneman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5466 Issued in OR

Practice address

574 Washington St
Ashland, OR 97520-1682

Phone

(541) 482-0541

Fax

(541) 482-0542

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629184866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682",
            "telephone_number": "541-482-0541",
            "fax_number": "541-482-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 WASHINGTON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201682",
            "telephone_number": "541-482-0541",
            "fax_number": "541-482-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEMAN",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D5466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc D Heller, D.C.
• Toni J Helstein, LPC
• Lisa Rochelle Hendrick, ND
• Rosa Joy Henigson-Kann
• Leah Kathryn Henigson, M.S.W.
• Ruby Henrie, LMT
• Kay E. Henry, LMT
• Evelyn Penelope Herman, LMHC
• Linda Elyssia Herrick, ND, LAC
• Jody Herriott, L.AC.

• General Practice Dentistry in Ashland, OR
• Providers in Ashland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.