Organization Active NPI

Jeffrey Henkes DDS, PLLC

  • General Practice Dentistry
  • Mountlake Terrace, WA
National Provider Identifier
1821358763
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00007266 Issued in WA
Legal business name
JEFFREY HENKES DDS, PLLC
Practice address
22725 44TH Ave W
Suite 100
Mountlake Terrace, WA 98043-4500
Phone
(425) 999-7858
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Dr. Jeffrey W Henkes, DDS
Title
Owner
Phone
(425) 999-7858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 00007266 WA Primary

Addresses

Primary practice location

22725 44TH Ave W
Suite 100
Mountlake Terrace, WA 98043-4500

Mailing address

15600 NE 173Rd St
Woodinville, WA 98072-8986
Phone (425) 999-7858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1821358763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 NE 173RD ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728986",
            "telephone_number": "425-999-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W",
            "address_2": "SUITE 100",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-999-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY HENKES DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "HENKES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-999-7858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "00007266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.