SARA BETH HENRY DDS
NPI 1063268654
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 25, 2024PECOS Enrolled
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8867 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sara Beth Henry Dds NPPES

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

SARA BETH HENRY DDS (NPI 1063268654) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063268654
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARA BETH HENRYCredential: DDS
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address3964 Ensign Ave NNew Hope, MN 55427-1067 · (612) 607-9846
Sole ProprietorNo
Enumeration DateApril 25, 2024
NPPES CertifiedApril 14, 2024
NPI 1063268654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2730 S MOODY AVE, Portland, OR 97201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sara Beth Henry Dds 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.

Other Providers at the Same Location NPPES 20

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

Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201

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 Sara Henry's NPI number?

The NPI number for Sara Henry is 1063268654. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Sara Henry located?

Sara Henry practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8867.

What is Sara Henry's specialty?

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

Is Sara Henry enrolled in Medicare?

Yes. Sara Henry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sara Henry was last updated on April 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.