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Roy Randel Henneberg, MD

Specialist in Coeur D Alene, ID · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114956216

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Registry record

Entity type Individual (Type 1)
Name Roy Randel Henneberg
Credential MD
Sex Male
Practice address 980 W Ironwood Dr, Suite 304, Coeur D Alene, ID, 83814
Phone (208) 765-4888
Fax (208) 667-8618
Enumeration date Jul 1, 2006
Last updated in NPPES May 14, 2020

Taxonomy & licenses

174400000X Specialist Other Service Providers · License M4722 (ID) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
001684500 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Roy Henneberg?
The National Provider Identifier (NPI) for Roy Henneberg is 1114956216, a Type 1 (individual) record in the CMS NPPES registry.
Where does Roy Henneberg practice?
The practice location on file with NPPES is in Coeur D Alene, ID. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-05-14.