Organization Active NPI

Rolin S Henry, DDS,PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Washington, DC
National Provider Identifier
1891136388
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN1000038 Issued in DC
Legal business name
ROLIN S HENRY, DDS,PLLC
Practice address
2112 F St NW
Suite #304
Washington, DC 20037-2715
Phone
(202) 296-2023
Fax
(202) 296-2035
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Rolin S Henry, DDS
Title
Owner
Phone
(202) 296-2023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DEN1000038 DC Primary

Addresses

Primary practice location

2112 F St NW
Suite #304
Washington, DC 20037-2715

Mailing address

2112 F St NW
Suite #304
Washington, DC 20037-2715
Phone (202) 296-2023

Other identifiers 1

IdentifierTypeStateIssuer
0017156MedicaidVA

National Provider Directory

National Provider Directory

Locations

2112 F St NW
Ste 304
Washington, DC 20037
Phone (202) 785-1999

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1891136388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE #304",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-296-2023",
            "fax_number": "202-296-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE #304",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-296-2023",
            "fax_number": "202-296-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLIN S HENRY, DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ROLIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-296-2023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN1000038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017156",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.