DR. WALTER E HENDERSON D.D.S.
NPI 1013079656
Dentist - General Practice in Fayetteville, AR

NPI Status: Active since December 13, 2006

Contact Information

179 N CHURCH AVE
SUITE 102
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 442-6512
Fax: (479) 442-7817

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  • Individual
  • Male
  • Dentist
  • General Practice

About WALTER HENDERSON

Walter Henderson is a provider established in Fayetteville, Arkansas and his medical specialization is Dentist with a focus in general practice . The healthcare provider is registered in the NPI registry with number 1013079656 assigned on December 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 2240 (TN). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI1013079656
Provider NameDR. WALTER E HENDERSON D.D.S.
Location Address179 N CHURCH AVE SUITE 102 FAYETTEVILLE, AR 72701
Location Phone(479) 442-6512
Mailing Address179 N CHURCH AVE SUITE 102 FAYETTEVILLE, AR 72701
GenderMale
Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date12-13-2006
Last Update Date07-08-2007
Code Navigator

A dentist like Walter Henderson is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Mailing Address

179 N CHURCH AVE
SUITE 102
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 442-6512
Fax: (479) 442-7817

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code1223G0001X
TypeDental Providers
License No.2240
License StateTN
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013079656
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230718610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 8 + 6 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1013079656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114638640COREY INBODEN DDS, PLLC
Organization
Clinic/Center (Dental)179 N CHURCH AVE
FAYETTEVILLE, AR 72701
(479) 442-6512

Frequently Asked Questions

What is Dr. Walter Henderson D.D.S. NPI number?

The NPI number assigned to this healthcare provider is 1013079656, enumerated in the NPI registry as an "individual" on December 13, 2006

Where is the provider located?

The provider is located at 179 N Church Ave Suite 102 Fayetteville, Ar 72701 and the phone number is (479) 442-6512

What is the provider specialty code?

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

How do I update my NPI information?

This NPI record was last updated on December 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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