BRAXTON HENDERSON (NPI# 1043664188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043664188 |
| Entity Type | Individual |
| Full Name | BRAXTON HENDERSON |
| Credential | DMD |
| Practice Address |
510 Nicholas Rd Ste F Greensboro NC 27409-3404 |
| Mailing Address |
316 Main St Oxford NC 27565-3323 |
| Practice Telephone | 2522138484 |
| Mailing Telephone | 2522138484 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040743 | PA | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0401416381 | VA | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
10942 | NC | Dental Providers |
| Street Address |
510 NICHOLAS RD STE F |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27409-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457671786 | Chavala Melita Harris | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2010-06-09 |
| 1871060772 | Roberts & Lo Pllc | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2018-10-29 |
| 1013482462 | Roberts Hoina & Associates Pllc | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2018-10-11 |
| 1356870240 | Jenna Yu | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2017-06-05 |
| 1902286255 | Adam Hoina | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423136 | Ethan Lechner | Social Worker | Holistic Commons, 123 S. Walnut Circle, Greensboro, NC 27409 | 2019-08-20 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1821578410 | Trifecta Transportation Services Inc. | Non-emergency Medical Transport (VAN) | 5617 Hornaday Rd Unit J, Greensboro, NC 27409 | 2018-08-14 |
| 1003393067 | Alonzo Jones | Medical Foods Supplier | 5617 Hornaday Rd, Unit J, Greensboro, NC 27409 | 2018-07-23 |
| 1073065785 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 3306 Edgefield Road, Greensboro, NC 27409 | 2016-10-28 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1588094478 | James Bassett | Veterinarian | 501 Nicholas Rd., Carolina Veterinary Specialists, Greensboro, NC 27409 | 2013-11-14 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1477739670 | Angela Marie Odom | Speech-Language Pathologist | 4325-3d Cedarcroft Court, Greensboro, NC 27409 | 2008-01-17 |
| 1538341037 | Meia Deneaca Burke | Counselor | 7900 Triad Center, Suite 350, Greensboro, NC 27409 | 2007-11-27 |
| Find all providers in zip 27409 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932676848 | Roberts & Lo Pllc | Dentist | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2018-10-29 |
| 1871060772 | Roberts & Lo Pllc | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2018-10-29 |
| 1194230573 | Valleygate Dental Surgery Centers of The West, LLC | Dentist | 510 Hickory Ridge Dr, Greensboro, NC 27409-9779 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1447501093 | Dillon Tyson Atwood | Dentist | 1408 Oak Tree Dr, Chapel Hill, NC 27517-4068 | 2012-09-23 |
| 1225505134 | Roberts & Lo Pllc | Dentist | 5069 University Pkwy Ste 11, Winston Salem, NC 27106-6083 | 2018-10-29 |
| 1093215147 | Valleygate Anesthesia | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2018-02-15 |
| 1023432408 | Surgical Partners of North Carolina | Dentist | 3600 Nw Cary Pkwy, Suite 105, Cary, NC 27513-8444 | 2014-02-06 |
| 1578686796 | Edward W. Davidian Jr. | Dentist | 249 E Nc Highway 54, Suite 300, Durham, NC 27713-7512 | 2007-04-10 |
| City | GREENSBORO |
| Zip Code | 27409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.