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HENRY PETERSEN
NPI 1346781275
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since March 11, 2017
5829 KENWOOD AVE, DALLAS, TX 75206(818) 746-6505 Get Directions Write a Review

NPPES record last updated: March 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Henry Petersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENRY PETERSEN (NPI 1346781275) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1346781275
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHENRY PETERSEN
Location Address5829 KENWOOD AVEDallas, TX 75206-5589
Mailing Address5829 Kenwood AveDallas, TX 75206-5589 · (818) 746-6505
Phone(818) 746-6505
Sole ProprietorYes
Enumeration DateMarch 11, 2017
✔ NPI 1346781275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
5829 KENWOOD AVE, Dallas, TX 75206
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Petersen's NPI number?

The NPI number for Henry Petersen is 1346781275. It was assigned to this individual provider in the NPPES registry on March 11, 2017.

Where is Henry Petersen located?

Henry Petersen practices at 5829 Kenwood Ave, Dallas, TX 75206. The listed phone number is (818) 746-6505.

What is Henry Petersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Henry Petersen was last updated on March 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.