Ronald Andrew Henderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20990 Issued in TX

Practice address

1601 Forest Trail
Temple, TX 76502

Phone

(254) 778-3002

Fax

(254) 778-3151

NPI assigned

Aug 26, 2006

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

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.

• Carus Dental PC

  • General Practice Dentistry
  • Temple, TX
  • NPI 1033698857
  NPD (past)
• Longhorn Dental

  • General Practice Dentistry
  • Temple, TX
  • NPI 1780764415
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912015405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 CAMERON ROAD",
            "address_2": "SUITE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 FOREST TRAIL",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76502",
            "telephone_number": "254-778-3002",
            "fax_number": "254-778-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RONALD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hemrick
• Ashley Henderson
• Evette Henderson, RN
• John Wesley Henderson, MD
• Kaylee Henderson
• Sherronda Moore Henderson, M.D.
• Taylor Marie Henderson, PHARMD
• Sophia Joellyn Hendrick, M.D.
• John C. Hendricks, M.D.
• Taegan Brynae Hendricks

• Dentist in Temple, TX
• Providers in Temple, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.