Active NPI
Harold Edwin Henry, DDS
- Dentist
- Weirton, WV
National Provider Identifier
1689686305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2603
- Practice address
- 200 Saint Thomas Drive
Weirton, WV 26062 - Phone
- (304) 723-7200
- Fax
- (304) 723-4460
- NPI assigned
- Aug 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2603 | WV | Primary |
Addresses
Primary practice location
200 Saint Thomas Drive
Weirton, WV 26062
Mailing address
200 Saint Thomas Drive
Weirton, WV 26062
Phone (304) 723-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136873000 | Medicaid | WV |
Other names 1
- H E Henry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H. E. Henry, DDS, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Weirton, WV
- NPI 1114440260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1689686305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SAINT THOMAS DRIVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-723-7200",
"fax_number": "304-723-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SAINT THOMAS DRIVE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-723-7200",
"fax_number": "304-723-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "HAROLD",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136873000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "H",
"last_name": "HENRY",
"middle_name": "E",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.