Rolin S. Henry, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401410508 Issued in VA

Practice address

7900 Andrus Rd Ste 2
Alexandria, VA 22306-3167

Phone

(703) 780-4422

Fax

(703) 780-2722

NPI assigned

Mar 17, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Walnut Dental Associates, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairfax, VA
  • NPI 1275125809
  NPD Authorized official
• Rolin S Henry DDS PC

  • Dentist
  • Alexandria, VA
  • NPI 1235231408
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1720259807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 ANDRUS RD",
            "address_2": "SUITE #2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063167",
            "telephone_number": "703-780-4422",
            "fax_number": "703-780-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 ANDRUS RD STE 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063167",
            "telephone_number": "703-780-4422",
            "fax_number": "703-780-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ROLIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401410508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017156",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helmi Emma Anastasia Henkin
• Lesly Nickole Henriquez
• William Henriquez
• Joseph William Henry, M.D.
• Kelly Henry
• Mohamed Henson, MD
• Janiya Merci Hepburn
• Herbert M. Hughes DDS, Inc.
• Maria Herbstritt
• Candace Estee Hercules, MS CCC SLP, CDP

• Oral and Maxillofacial Surgery (Dentist) in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.