Jeffrey J Henneberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY J HENNEBERG, DDS

Practice address

5901 N Mayfair St
Suite 201
Spokane, WA 99208-5096

Phone

(509) 928-8400

Fax

(509) 928-1845

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey James Henneberg, DDSNPI 1710906631

Title

Owner/President

Phone

(509) 928-8400

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J Henneberg, DDS

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1710906631
  NPD (past) Authorized official

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1679877146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MULLAN RD",
            "address_2": "SUITE 204",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066859",
            "telephone_number": "509-928-8400",
            "fax_number": "509-928-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N MAYFAIR ST",
            "address_2": "SUITE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085096",
            "telephone_number": "509-928-8400",
            "fax_number": "509-928-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J HENNEBERG, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "HENNEBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "509-928-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Bafus Counseling & Consultation
• Katie Danielle Jeffery, CERT PEER SUPPORT
• Stephanie Christine Jeffery
• Jeffrey C. Regelin
• Jeffrey G Hedge DO PLLC
• Jeffrey R O'Connor, M.D., PLLC
• Sarah Ann Jeffrey, AGNP
• Christina Jeffries
• Janet Jeffries
• Sandra M Jeffries, RN

• General Practice Dentistry in Spokane, WA
• Providers in Spokane, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.