Juliana Cran Henderson, D.M.D. M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2476-89 Issued in MS

Practice address

704 S 28TH Ave
Suite 20
Hattiesburg, MS 39402-2524

Phone

(601) 450-2141

Fax

(601) 450-2143

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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.

• Hattiesburg Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hattiesburg, MS
  • NPI 1083832422
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750505251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S 28TH AVE",
            "address_2": "SUITE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022524",
            "telephone_number": "601-450-2141",
            "fax_number": "601-450-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S 28TH AVE",
            "address_2": "SUITE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022524",
            "telephone_number": "601-450-2141",
            "fax_number": "601-450-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JULIANA",
        "middle_name": "CRAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D. M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "2476-89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita S Henderson, MD
• Chaquita Henderson, AGPCNP
• Charles A Henderson, MD
• Everett Randall Henderson III, M.D.
• James Strong Henderson IV, D.M.D.
• Lanita Henderson, CIDDT
• Linell Henderson, CMHT
• Madison F Henderson, PCCSS
• Reanna Henderson, FNP-C
• Ryan Williams Henderson, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.