Active NPI
Delmer Ward Henninger Jr., MD
- Sleep Medicine (Internal Medicine) Physician
- Murrieta, CA
National Provider Identifier
1942394390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- A41831
- Practice address
- 39755 Date St
#101
Murrieta, CA 92563-2007 - Phone
- (951) 698-6629
- Fax
- (951) 698-8732
- NPI assigned
- Oct 2, 2006
- Last updated
- May 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | A41831 | CA | Primary |
Addresses
Primary practice location
39755 Date St
#101
Murrieta, CA 92563-2007
Mailing address
39755 Date St
#101
Murrieta, CA 92563-2007
Phone (951) 698-6629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0082740 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talha Memon M.D. Inc. | Pulmonary Disease | Current | Accepting new patients |
Locations
25405 Hancock Ave
Ste 203
Murrieta, CA 92562
Phone (909) 698-6629
39755 Date St
Ste 101
Murrieta, CA 92563
Phone (951) 698-6629
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- delmer.henninger.1@22027.direct.athenahealth.com
- https://api.platform.athenahealth.com/22027/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Sleep Medicine (Internal Medicine) Physician
- Murrieta, CA
- NPI 1598894792
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1942394390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39755 DATE ST",
"address_2": "#101",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632007",
"telephone_number": "951-698-6629",
"fax_number": "951-698-8732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39755 DATE ST",
"address_2": "#101",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925632007",
"telephone_number": "951-698-6629",
"fax_number": "951-698-8732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGER",
"first_name": "DELMER",
"middle_name": "WARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "A41831",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0082740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
- Hematology Oncology Consultants
- Eveitta Shellette Henderson, LCSW
- Jeanette Lorinne Henderson, PTA
- Debbie Jill Hendrickson, HEALTH COACH
- Judy C. Henning, O.D.
- Henriod and Papworth Dental Corporation (Starwhite Dental)
- Julia-Anne Herbert, PT, DPT
- Julie Etty Herbst
- Francisco Heredia, ND, NBC-HWC
- Alexandria Elise Hernal, MSN, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; 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.