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DR. KATELYN JOYCE HENDERSON D.D.S.
NPI 1053752055
Dentist in King, NC

Active since July 08, 2013PECOS Enrolled

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katelyn Joyce Henderson D.d.s. NPPES

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

DR. KATELYN JOYCE HENDERSON D.D.S. (NPI 1053752055) is an individual dentist in King, North Carolina, licensed in North Carolina (D9492) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053752055
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KATELYN JOYCE HENDERSONCredential: D.D.S.
Location Address626 KIRBY RDKing, NC 27021-9496
Mailing Address626 Kirby RdKing, NC 27021-9496 · (336) 983-4565
Phone(336) 983-4565
Sole ProprietorNo
Enumeration DateJuly 8, 2013
Last NPPES UpdateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1053752055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · D9492
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
626 KIRBY RD, King, NC 27021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Katelyn Joyce Henderson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN L. TEMPLE, III, DDS, PA
Clinic/Center (Dental)
626 KIRBY RD
KING, NC 27021
Stokes County (336) 983-4565

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 Katelyn Henderson's NPI number?

The NPI number for Katelyn Henderson is 1053752055. It was assigned to this individual provider in the NPPES registry on July 8, 2013.

Where is Katelyn Henderson located?

Katelyn Henderson practices at 626 Kirby Rd, King, NC 27021. The listed phone number is (336) 983-4565.

What is Katelyn Henderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Katelyn Henderson enrolled in Medicare?

Yes. Katelyn Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Henderson was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.