LAUREL KELSEY ALYSSA HENDERSON DDS
NPI 1205309648
Dentist in Stanford, CA
About Laurel Kelsey Alyssa Henderson Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREL KELSEY ALYSSA HENDERSON DDS (NPI 1205309648) is an individual dentist in Stanford, California, licensed in California (104477) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Laurel Kelsey Alyssa Henderson Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Laurel Henderson's NPI number?
The NPI number for Laurel Henderson is 1205309648. It was assigned to this individual provider in the NPPES registry on January 8, 2019.
Where is Laurel Henderson located?
Laurel Henderson practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Laurel Henderson's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Laurel Henderson enrolled in Medicare?
Yes. Laurel Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Laurel Henderson affiliated with any hospitals?
According to CMS data, Laurel Henderson is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Laurel Henderson was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.
# Laurel Kelsey Alyssa Henderson, DDS · NPI 1205309648
Dentist provider in Stanford, California. Individual provider, active in the CMS NPPES registry since January 8, 2019.
## Identity
- **NPI:** 1205309648 (Entity type: Individual)
- **Enumerated:** January 8, 2019
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 104477 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** University Of South Carolina School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** September 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205309648) · Data from the CMS NPPES public registry.