Active NPI
Obert P Henry, DDS
- Dentist
- Silver Spring, MD
National Provider Identifier
1801878038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11751
- Practice address
- 831 University Blvd E
Suite 36B
Silver Spring, MD 20903-2916 - Phone
- (301) 431-1660
- Fax
- (301) 431-1004
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11751 | MD | Primary |
Addresses
Primary practice location
831 University Blvd E
Suite 36B
Silver Spring, MD 20903-2916
Mailing address
831 University Blvd E
Suite 36B
Silver Spring, MD 20903-2916
Phone (301) 431-1660
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1546445 | Other | MD | UNITED CORCORDIA |
| 2100 | Medicaid | MD | |
| S444 | Other | MD | THE DENTAL NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11751 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children & Adolescent Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Silver Spring, MD
- NPI 1962665257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1801878038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 UNIVERSITY BLVD E",
"address_2": "SUITE 36B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209032916",
"telephone_number": "301-431-1660",
"fax_number": "301-431-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 UNIVERSITY BLVD E",
"address_2": "SUITE 36B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209032916",
"telephone_number": "301-431-1660",
"fax_number": "301-431-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "OBERT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "11751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CORCORDIA",
"identifier": "1546445",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE DENTAL NETWORK",
"identifier": "S444",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.