DR. MICHAEL HENNEBERRY (NPI# 1437532074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437532074 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL HENNEBERRY |
| Practice Address |
1201 N Stonewall Ave Oklahoma City OK 73117-1214 |
| Practice Telephone | 4052714148 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6590 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336257971 | Michael O Henneberry | Urology | 820 S Mcclellan St, Suite 118, Spokane, WA 99204-2457 | 2006-08-25 |
| Street Address |
1201 N STONEWALL AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73117-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557452 | Tim R Fagan | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2005-06-08 |
| 1538778840 | Allison Brewer Dinse | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-07-23 |
| 1922625813 | Amanda Stephanie Akkari | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1275159162 | Katherine Ann Gamble | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1255957023 | Andrew Lee Benjamin Jr. | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-06-17 |
| 1295355337 | Gabriel Duffy | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-18 |
| 1558981829 | Shawn Moffett | Student in an Organized Health Care Education/Training Program | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2020-04-16 |
| 1750933305 | Schuyler Allison Pracht | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-14 |
| 1801458385 | Jeremiah Aigbedion | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-03 |
| 1396307104 | Kathleen Alexis Higgins | Dentist | 1201 N Stonewall Ave, Oklahoma City, OK 73117-1214 | 2019-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623271 | Katelyn Gerth | Student in an Organized Health Care Education/Training Program | University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 | 2020-06-12 |
| 1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
| 1801300710 | Kenneth Belyeu | Peer Specialist | 625 N Nebraska, Okc, OK 73117 | 2017-11-30 |
| 1215483029 | Brian Behnum Minavi | Dentist | 1201 N. Stonewall Ave., Oklahoma City, OK 73117 | 2016-08-31 |
| 1649631409 | April Ajanwachukwu | Social Worker | 1309 N Nebraska Ave, Oklahoma City, OK 73117 | 2016-03-08 |
| 1518340405 | Shachi Shah | Dentist | 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 | 2015-07-09 |
| 1063829067 | Lauren Marie Pierce | Speech-Language Pathologist | 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 | 2014-07-22 |
| 1306195235 | Rachel Devecchio | Case Manager/Care Coordinator | 1300 Ne 13th St, Oklahoma City, OK 73117 | 2012-09-06 |
| 1265780837 | Tiffany Dawn Stokely | Counselor | 1701 E Park Pl, Oklahoma, OK 73117 | 2012-08-29 |
| 1689935645 | Everett House | Behavioral Analyst | 1100 Ne 15th St, Oklahoma Cituy, OK 73117 | 2012-06-06 |
| Find all providers in zip 73117 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215480371 | Gabriel Luttrell | Dentist | 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 | 2016-07-25 |
| 1629474127 | Smile Galaxy Orthodontics | Dentist | 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923 | 2014-11-10 |
| 1831505999 | Gabriela Restuccia | Dentist | 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 | 2014-07-09 |
| 1962818351 | Dental Depot Orthodontics Sw Okc, Pllc | Dentist | 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 | 2014-07-07 |
| 1730502519 | Dental Depot Orthodontics North Okc Pllc | Dentist | 14440 N Penn Ave, Oklahoma City, OK 73134-6003 | 2014-01-29 |
| 1396993051 | Melissa Leann Farrow | Dentist | 8301 S. Walker, Suite 103, Oklahoma City, OK 73139-9449 | 2008-09-05 |
| 1861611535 | Mark L Youngker | Dentist | 4401 W Memorial Rd Ste 113, Oklahoma City, OK 73134-1722 | 2007-04-24 |
| 1538212766 | Ou Graduate Orthodontics | Dentist | 1201 N Stonewall, Room 442, Oklahoma City, OK 73117-1214 | 2007-01-19 |
| 1659437234 | Marlo Anneene Miller | Dentist | 3501 Nw 50th St, Oklahoma City, OK 73112-5603 | 2006-12-28 |
| 1366513699 | Jeffrey Todd Cohlmia | Dentist | 13313 North Meridian, Suite D4, Oklahoma City, OK 73120-8380 | 2006-11-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73117 |
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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.