Elizabeth Philip Henson, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

6436-015 Issued in WI

Practice address

1102 Regis CT
Eau Claire, WI 54701-4404

Phone

(715) 834-2032

NPI assigned

Aug 3, 2009

Last updated

Aug 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lisa Henson DMD LLC

  dba Regis Court Dental Associates

  • General Practice Dentistry
  • Eau Claire, WI
  • NPI 1952638488
  NPD (past) Authorized official

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1841421260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 REGIS CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014404",
            "telephone_number": "715-834-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 REGIS CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014404",
            "telephone_number": "715-834-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "ELIZABETH",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6436-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hennen, FNP-C
• Jessica Henning, DPT
• Laurie Henri, RN
• Jennifer Lynn Henriksen, NP
• Thomas R. Henry, DDS
• Makayla Marie Henthorne
• Gia Hepfler, LPC
• Joanne Marie Herbenson, CCC-SLP
• Heritage 1, LLC
• Heritage 5, LLC

• Dentist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.