Cleon Henderson

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

8476 Simonds Street
Ste 5700
Fort George G. Meade, MD 20755

Phone

(301) 677-6122

Fax

(301) 677-5710

NPI assigned

Jul 7, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1629420294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8476 SIMONDS STREET",
            "address_2": "STE 5700",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-6122",
            "fax_number": "301-677-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8476 SIMONDS STREET",
            "address_2": "STE 5700",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "20755",
            "telephone_number": "301-677-6122",
            "fax_number": "301-677-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CLEON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Harding
• Randolph S Harrison, PA
• Sally Cain Harvey, PH.D.
• Adam Hebdon, D.O.
• Mark Heithaus, LCSW-C
• Joanne Hill, RN
• Lauren Hill, LCMFT, LMFT
• Jewel Danielle Hilliard, PHARMD
• Stacy R B Hoffman, PHARMD
• Chyna Holmes-Brantly, L.I.C.S.W

• Dental Assistant in Fort George G. Meade, MD
• Providers in Fort George G. Meade, MD by specialty
• Dental Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.