Individual provider Active NPI

James Martin Hensley, D.D.S., F.A.G.D.

  • General Practice Dentistry
  • Merrick, NY
National Provider Identifier
1962527598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
047454 Issued in NY
Practice address
1693 Merrick Ave
Merrick, NY 11566-1628
Phone
(516) 378-2345
Fax
(516) 377-0335
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 047454 NY Primary

Addresses

Primary practice location

1693 Merrick Ave
Merrick, NY 11566-1628

Mailing address

1693 Merrick Ave
Merrick, NY 11566-1628
Phone (516) 378-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617001990 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214248228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047454NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Designing Dental Smiles, PLLC General Practice Past Accepting new patients
Arthur I. Sekuler, D.D.S. and James M. Hensley, D.D.S., P.L.L.C. General Practice Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962527598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661628",
            "telephone_number": "516-378-2345",
            "fax_number": "516-377-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661628",
            "telephone_number": "516-378-2345",
            "fax_number": "516-377-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "JAMES",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.A.G.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.