Kay Henry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019020755 Issued in IL

Practice address

260 E Congress Pkwy
Suite C
Crystal Lake, IL 60014-6235

Phone

(815) 459-4847

Fax

(815) 459-4857

NPI assigned

Feb 27, 2007

Reactivated

Dec 4, 2014

Sex

Female

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

State licenses

Practice roles

Locations

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.

• A Gentle Touch in Fine Dentistry PC

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1396873675
  NPD Authorized official
• Amanda Henry DDS PC

  • General Practice Dentistry
  • Crystal Lake, IL
  • NPI 1952197030
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1720115819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E CONGRESS PKWY",
            "address_2": "SUITE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146235",
            "telephone_number": "815-459-4847",
            "fax_number": "815-459-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E CONGRESS PKWY",
            "address_2": "SUITE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146235",
            "telephone_number": "815-459-4847",
            "fax_number": "815-459-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "deactivation_date": "2007-06-13",
        "reactivation_date": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander J Hembrey, PA-C
• Virginia B Hemelt, MD
• Tiffani Henn, APRN, FNP-C
• William Hennessy
• Amanda Henry, D.D.S
• Meredith Hensel
• Amy Jin Hensley, LCSW
• Christine C Hepperlen, NP
• Mary F Heraty, LCPC
• Joseph Allen Herba, O.D.

• General Practice Dentistry in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.