Andrew Henritze DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDREW HENRITZE DDS PLLC

Practice address

1103 Brookdale St
Martinsville, VA 24112-4528

Phone

(276) 632-2634

NPI assigned

Oct 24, 2019

Organization subpart

Yes

Parent organization

ANDREW HENRITZE DDS PLLCAs reported in NPPES

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

Authorized official

Name

Kara Trail

Title

Director of Operations

Phone

(540) 588-7312

Specialties & licenses 1

Addresses

Part of

Andrew Henritze DDS PLLC

Locations

Practitioners 1

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

• Ewing Jackson Threet II, DMD

  • Endodontics
  • Chattanooga, TN
  • NPI 1164954582
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1699318410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BROOKDALE ST STE E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BROOKDALE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124528",
            "telephone_number": "276-632-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW HENRITZE DDS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDREW HENRITZE DDS PLLC",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "TRAIL",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "540-588-7312"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Martinsville, VA
• Providers in Martinsville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.