Donald Wayne Henagan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3416 Issued in LA

Practice address

600 Rue de Lion
New Iberia, LA 70563-2113

Phone

(337) 364-2156

Fax

(337) 364-7875

NPI assigned

Oct 11, 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

Medicare fee-for-service enrollment

Enrolled in LA

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

Practice roles

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

• Henagan Team Dentistry, LLC

  • General Practice Dentistry
  • New Iberia, LA
  • NPI 1992364244
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1679661995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RUE DE LION",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632113",
            "telephone_number": "337-364-2156",
            "fax_number": "337-364-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RUE DE LION",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632113",
            "telephone_number": "337-364-2156",
            "fax_number": "337-364-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAGAN",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angele Heggler, OT
• Helping Hands of Acadiana
• Helping Hands of Acadiana
• Helping Thy Neighbor, LLC
• Henagan Team Dentistry, LLC
• Henrietta Lee Chambers, LLC
• Henry M Kwong, M.D. a Prof Med Corp
• Jillian Rae Henry, WHNP-BC
• Morgan Elizabeth Henry, PLPC
• Shekaul Vondel Henry

• General Practice Dentistry in New Iberia, LA
• Providers in New Iberia, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.