Individual provider Active NPI

Douglas A. Henke, D.D.S., M.S.

  • Prosthodontics
  • Farmington Hills, MI
National Provider Identifier
1811084767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
17567 Issued in MI
Practice address
31410 Northwestern Hwy
Suite E
Farmington Hills, MI 48334-2563
Phone
(248) 626-6656
Fax
(248) 626-5023
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 17567 MI Primary

Addresses

Primary practice location

31410 Northwestern Hwy
Suite E
Farmington Hills, MI 48334-2563

Mailing address

31410 Northwestern Hwy
Suite E
Farmington Hills, MI 48334-2563
Phone (248) 626-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 21, 2015 through Dec 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17567MIMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Zahler & Henke PC Prosthodontics PastSince Nov 22, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811084767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31410 NORTHWESTERN HWY",
            "address_2": "SUITE E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342563",
            "telephone_number": "248-626-6656",
            "fax_number": "248-626-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31410 NORTHWESTERN HWY",
            "address_2": "SUITE E",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342563",
            "telephone_number": "248-626-6656",
            "fax_number": "248-626-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "17567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.