Individual provider Active NPI

Rex Asher Henegar, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1992084529
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203086 Issued in CO
Practice address
1675 Briargate Blvd Ste a
Colorado Springs, CO 80920-3416
Phone
(719) 896-4256
Fax
(719) 896-4818
NPI assigned
Aug 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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 DEN.00203086 CO Primary

Addresses

Primary practice location

1675 Briargate Blvd Ste a
Colorado Springs, CO 80920-3416

Mailing address

3809 Innisbrook Dr S
Irving, TX 75038-3412
Phone (972) 659-1355

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00203086COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
R. Asher Henegar DDS General Practice CurrentSince Aug 23, 2020 Accepting new patients
Fountain Modern Dentistry and Orthodontics, LLP General Practice Past Accepting new patients

Locations

1675 Briargate Blvd
Ste A
Colorado Springs, CO 80920
Phone (719) 896-4256

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": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1992084529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 INNISBROOK DR S",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383412",
            "telephone_number": "972-659-1355",
            "fax_number": "972-409-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BRIARGATE BLVD STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203416",
            "telephone_number": "719-896-4256",
            "fax_number": "719-896-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEGAR",
        "first_name": "REX",
        "middle_name": "ASHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-13",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.