Jeffrey J. Henneberg, D.D.S., P.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

602629210 Issued in WA

Legal business name

JEFFREY J. HENNEBERG, D.D.S., P.C.

Practice address

1215 N McDonald Rd Ste 203
Spokane Valley, WA 99216-1557

Phone

(509) 928-8400

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Henneberg, DDS

Title

Owner

Phone

(509) 928-8400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey J Henneberg, DDS

  • General Practice Dentistry
  • Spokane Valley, WA
  • NPI 1710906631
  NPD (past)

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1801266549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD STE 203",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161557",
            "telephone_number": "509-928-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N MCDONALD RD STE 203",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161557",
            "telephone_number": "509-928-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. HENNEBERG, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "HENNEBERG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-928-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "602629210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolie Jantz, PHARM.D.
• Mikayla Jares
• Megan Jaromin
• Stacy J Jarvis, PA-C
• Jason R. Scott DDS, PLLC
• Jeffrey L. Marshall, DDS, PS
• Kathryn E Jeffries-Owens, LMP
• Elizabeth Jeffries, LMT
• Karen Leereiff Jeltsch, ARNP
• Jordan Ashae Jenecke, BS

• Customized Equipment (DME) in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.