Hentscher-Johnson Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

License

019.028038 Issued in IL

Legal business name

HENTSCHER-JOHNSON ORTHODONTICS

Practice address

200 E Mill St
Waterloo, IL 62298-1519

Phone

(618) 939-2900

Fax

(888) 908-5295

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Kay Hentscher-Johnson, D.M.D., M.S.NPI 1942577234

Title

Dentist/Orthodontist

Phone

(618) 939-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jodi Kay Hentscher-Johnson, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Waterloo, IL
  • NPI 1942577234
  NPD (past) Authorized official

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1750648564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MILL ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981519",
            "telephone_number": "618-939-2900",
            "fax_number": "888-908-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MILL ST",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981519",
            "telephone_number": "618-939-2900",
            "fax_number": "888-908-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENTSCHER-JOHNSON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "HENTSCHER-JOHNSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DENTIST/ORTHODONTIST",
        "authorized_official_telephone_number": "618-939-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1942577234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michala Heise
• Marsha Helferty, MHP
• Aaron P Henry, DPT
• Thomas Hensel, RSA
• Tonya Hensel, MHP
• Jodi Kay Hentscher-Johnson, D.M.D.
• Joseph Hernandez, MHP
• Brandi Hickam
• Highland Park CVS, L.L.C.
• Trisha Hoagland, RSA

• Dentist in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.