IndividualActive
Roy Henneberg, MD
NPI 1114956216 · Specialist · Coeur D Alene, ID
Roy Henneberg, MD is a Specialist provider in Coeur D Alene, ID (NPI 1114956216).
Provider details
- NPI number
- 1114956216
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M4722 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
980 W Ironwood Dr
Suite 304
Coeur D Alene, ID 83814
Phone: (208) 765-4888
Fax: (208) 667-8618
Street-level locationGet directions
Mailing address
980 W Ironwood Dr Ste 201
Coeur D Alene, ID 83814-2668
Additional practice locations (1)
- 980 W Ironwood Dr Ste 201Coeur D Alene, ID 83814-2668Phone: (208) 765-4888Fax: (208) 667-8618
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2020-05-14
- Certified
- 2020-05-14
Frequently asked questions
- What is Roy Henneberg's NPI number?
- Roy Henneberg's National Provider Identifier (NPI) is 1114956216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Henneberg's specialty?
- Roy Henneberg is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Roy Henneberg located?
- Roy Henneberg's practice location on file with NPPES is 980 W Ironwood Dr, Coeur D Alene, ID 83814.
- What is Roy Henneberg's phone number?
- The practice phone number listed in the NPPES registry for Roy Henneberg is (208) 765-4888.
- Is Roy Henneberg's NPI active?
- Yes — Roy Henneberg's NPI (1114956216) is active in the NPPES registry as of the last update on 2020-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.