Carson Henley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4236 Issued in WV

Practice address

3814 Maccorkle Ave SE
Charleston, WV 25304-1528

Phone

(304) 925-0322

NPI assigned

Jul 23, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Dixon Dental Care

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1417133661
  NPD (past)
• Ghareeb and Ghareeb, DDS, PC

  • Dentist
  • South Charleston, WV
  • NPI 1790990638
  NPD (past)
• Jonathan R Abraham, DDS

  • General Practice Dentistry
  • Charleston, WV
  • NPI 1316330210
  NPD (past)

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1851844096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 JEFFERSON RD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041528",
            "telephone_number": "304-925-0322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Jefferson Rd",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253099732",
            "country_code": "US",
            "telephone_number": "304-744-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Martin Henderson, M.D./DDS
• Justin Henderson
• Rachel A Henderson
• Crystal Hendricks
• Diane Briers Hendricks, MSW
• Dana Henley
• Julia Henley
• Sara Henley, M.D.
• Christina Henline
• Sandra Henline, PA-C

• General Practice Dentistry in Charleston, WV
• Providers in Charleston, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.