Individual provider Active NPI

Jeffrey W Henkes, DDS

  • General Practice Dentistry
  • North Las Vegas, NV
National Provider Identifier
1922257542
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3519 Issued in NV
Practice address
1631 W Craig Rd
Suite 10
North Las Vegas, NV 89032-0227
Phone
(702) 649-6644
Fax
(702) 649-9778
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3519 NV Primary
General Practice Dentistry 1223G0001X 7266 WA

Addresses

Primary practice location

1631 W Craig Rd
Suite 10
North Las Vegas, NV 89032-0227

Mailing address

1631 W Craig Rd
Suite 10
North Las Vegas, NV 89032-0227
Phone (702) 649-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3519NVMDGeneral Practice Dentistry
7266WAMDGeneral Practice Dentistry
30642TXMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Braun 7To7 PLLC CurrentSince Aug 15, 2021 Accepting new patients
North Vegas Dental PastSince Aug 9, 2020 Accepting new patients

Locations

10103 W Loop 1604 N
Ste 104
San Antonio, TX 78254
Phone (210) 493-4444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1922257542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 W CRAIG RD",
            "address_2": "SUITE 10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320227",
            "telephone_number": "702-649-6644",
            "fax_number": "702-649-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 W CRAIG RD",
            "address_2": "SUITE 10",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320227",
            "telephone_number": "702-649-6644",
            "fax_number": "702-649-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKES",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3519",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.