NPIMap

Individual provider Active NPI

Kristen Ann Henry, D.P.M.

  • Podiatrist
  • Dover, OH
National Provider Identifier
1770823379
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
59.000427 Issued in OH
Practice address
515 Union Ave Ste 147
Dover, OH 44622-3005
Phone
(330) 339-6233
NPI assigned
Feb 20, 2013
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 59.000427 OH Primary

Addresses

Primary practice location

515 Union Ave Ste 147
Dover, OH 44622-3005

Mailing address

515 Union Ave Ste 147
Dover, OH 44622-3005
Phone (330) 339-6233

Other practice location 1

200 E State St
Alliance, OH 44601-4936
Phone (330) 596-6000 ext. 7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001590 OH Practitioner - Podiatry 1658682877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Myers and Miller Podiatry IncGroup PAC ID 0446319701, 5 clinicians

Practice addresses (Care Compare)

515 Union Ave
Suite 147
Dover, OH 44622-3005
Phone (330) 339-6233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as group
Quality
74.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue186
Removal of nail tissue968
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000427OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Mar 3, 2018 Accepting new patients
Myers & Miller Podiatry Inc Podiatrist CurrentSince Jul 20, 2015 Accepting new patients
The Union Hospital Association CurrentSince Mar 3, 2018 Accepting new patients
Myers Podiatry LLC Podiatrist PastSince Jul 20, 2015 Accepting new patients

Locations

110 Dublin Dr
#B
Dover, OH 44622
Phone (330) 343-0753

515 Union Ave
Ste 147
Dover, OH 44622
Phone (330) 339-6233

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

Interoperability endpoints

  • Direct secure messaging: kristenhenry@mmpi.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1770823379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 UNION AVE STE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223005",
            "telephone_number": "330-339-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 UNION AVE STE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223005",
            "telephone_number": "330-339-6233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E State St",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014936",
            "country_code": "US",
            "telephone_number": "330-596-6000 x7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KRISTEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.000427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.