MATTHEW HENRY (NPI# 1154561926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154561926 |
| Entity Type | Individual |
| Full Name | MATTHEW HENRY |
| Credential | D.D.S. |
| Practice Address |
1439 Stillwater Ave Ste 7 Cheyenne WY 82009-7367 |
| Mailing Address |
39375 Ridge Park Drive Severance CO 80610 |
| Practice Telephone | 3077787800 |
| Mailing Telephone | 9706740101 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 1290 | AK | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1245 | WY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902967177 | Matthew Jackson Henry | Dentist | 14054 Beach Blvd Ste 10, Jacksonville, FL 32250-1596 | 2006-12-12 |
| 1982695946 | Matthew Christopher Henry | Emergency Medical Technician, Basic | 5550 N Walnut St, Macungie, PA 18062-1323 | 2005-10-31 |
| 1285632596 | Matthew Thomas Henry | Physical Therapist | 3051 Watson Blvd, Warner Robins, GA 31093-8536 | 2005-07-11 |
| 1063032068 | Matthew J Henry | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-04-20 |
| 1013399005 | Matthew Henry | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd, Ste 114, Eglin Afb, FL 32542-1302 | 2015-06-25 |
| 1487942942 | Matthew Henry | Case Manager/Care Coordinator | 1000 S Houston Ave, Russellville, AR 72801-5816 | 2011-07-19 |
| 1295056026 | Matthew Henry | Anesthesiology | One Hospital Dr, Columbia, MO 65212 | 2010-06-16 |
| 1902005242 | Matthew Jacob Henry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Port Washington Blvd, Suite G01, Roslyn, NY 11576-1347 | 2007-07-17 |
| 1295746196 | Matthew Aaron Henry | Physician Assistant | 7220 S Highway 16, Rapid City, SD 57702-8708 | 2006-08-10 |
| 1134140932 | Matthew Noel Henry | Neurological Surgery | 3223 N Webb Rd, Suite 1, Wichita, KS 67226-8175 | 2006-07-21 |
| Street Address |
1439 STILLWATER AVE STE 7 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-7367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477571610 | John Reichmann Leonard | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2006-07-17 |
| 1104209501 | Conner John Christensen | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2015-07-02 |
| 1265848774 | Pediatric Dentistry LLC | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2014-07-03 |
| 1174942122 | Breanna Barnes | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2014-04-07 |
| 1326118993 | Pediatric Dentistry, P.C. | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518091859 | Jay Q. Cole | Dentist | 6900 Yellowtail Rd, Suite 100, Cheyenne, WY 82009-6102 | 2007-03-16 |
| 1477571610 | John Reichmann Leonard | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2006-07-17 |
| 1265848774 | Pediatric Dentistry LLC | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2014-07-03 |
| 1447562012 | Vision Ayuda, Inc. | Dentist | 1439 Stillwater Ave, Suite 7, Cheyenne, WY 82009-7367 | 2010-07-12 |
| 1649488743 | Children's Dentistry LLC | Dentist | 6900 Yellowtail Rd, Cheyenne, WY 82009-6102 | 2007-05-21 |
| 1386778520 | Michael V. Clark | Dentist | 6900 Yellowtail Rd, Suite 100, Cheyenne, WY 82009-6102 | 2007-03-16 |
| 1326118993 | Pediatric Dentistry, P.C. | Dentist | 1439 Stillwater Ave Ste 7, Cheyenne, WY 82009-7367 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775960 | Clubhouse Pediatric Dentistry of Jackson | Dentist | 1130 Us-89, Jackson Hole, WY 83001-8701 | 2018-10-05 |
| 1891218392 | Matthew Gary Wold | Dentist | 5040 E 2nd St Ste 2, Casper, WY 82609-4468 | 2017-07-18 |
| 1013289966 | Gillette Pediatric Dentistry LLC | Dentist | 433 Shadow Ridge Blvd, Sheridan, WY 82801-9350 | 2012-02-07 |
| 1477862076 | David G Bailey | Dentist | 531 Coffeen Ave, Sheridan, WY 82801-5311 | 2010-09-29 |
| 1972822930 | Abc Pediatric Dentistry, LLC | Dentist | 610 S 4j Ct # B, Gillette, WY 82716-4127 | 2010-05-28 |
| 1750584173 | Roy E. Paulson Jr PC | Dentist | 102 N. Kenwood St., Casper, WY 82601-2724 | 2007-06-06 |
| 1821207036 | Roy E. Paulson Jr PC | Dentist | 2805 Cedar Ave Ste A, Gillette, WY 82718-2000 | 2007-05-22 |
| 1760520514 | L Grant Christensen | Dentist | 657 Pilot Butte Ave, Rock Springs, WY 82901-5343 | 2007-02-02 |
| 1750459319 | David A Krise | Dentist | 25 Pebbles Lane, Lander, WY 82520 | 2006-12-01 |
| 1104921907 | Roy E Paulson | Dentist | 102 N Kenwood, Casper, WY 82601 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
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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.