Henagan Team Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HENAGAN TEAM DENTISTRY, LLC

Practice address

600 Rue de Lion
New Iberia, LA 70563-2113

Phone

(337) 364-2156

Fax

(337) 364-7875

NPI assigned

Jun 11, 2019

Organization subpart

No

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

Authorized official

Name

Annette P Thompson

Title

Financial/Insurance Coordinator

Phone

(337) 364-2156

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail Henagan Daly

  • Student in an Organized Health Care Education/Training Program
  • New Iberia, LA
  • NPI 1962067835
  NPD (past)
• Donald Wayne Henagan, D.D.S.

  • General Practice Dentistry
  • New Iberia, LA
  • NPI 1679661995
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1992364244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RUE DE LION",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632113",
            "telephone_number": "337-364-2156",
            "fax_number": "337-364-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RUE DE LION",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632113",
            "telephone_number": "337-364-2156",
            "fax_number": "337-364-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENAGAN TEAM DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FINANCIAL/INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "337-364-2156"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NO.",
            "identifier": "C1334",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@henaganteamdentistry.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "600 Rue De Lion",
            "city": "New Iberia",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705632113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffanie N Hebert
• Angele Heggler, OT
• Helping Hands of Acadiana
• Helping Hands of Acadiana
• Helping Thy Neighbor, LLC
• Donald Wayne Henagan, D.D.S.
• Henrietta Lee Chambers, LLC
• Henry M Kwong, M.D. a Prof Med Corp
• Jillian Rae Henry, WHNP-BC
• Morgan Elizabeth Henry, PLPC

• General Practice Dentistry in New Iberia, LA
• Providers in New Iberia, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.