DR. LAUREL KELSEY ALYSSA HENDERSON DDS
NPI 1205309648
Oral Medicine in Boston, MA

Q: 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.

Q: What is Laurel Henderson's specialty?

The primary specialty registered for this NPI is Oral Medicine with taxonomy code 125Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Laurel Henderson was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since January 08, 2019PECOS EnrolledAccepts Medicare Assignment

725 ALBANY STREET, 6TH FLOOR, SUITE 6A, BOSTON, MA 02118(617) 358-6775(617) 358-6781 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jan 8, 2019 (2 updates tracked since 2019).

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About Dr. Laurel Kelsey Alyssa Henderson Dds NPPES

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

DR. LAUREL KELSEY ALYSSA HENDERSON DDS (NPI 1205309648) is an individual oral medicine provider in Boston, Massachusetts, 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 is a graduate of University Of South Carolina School Of Medicine (2013).

NPPES Registry Identity

NPI1205309648

Entity TypeIndividualFemale

Primary Taxonomy125Q00000X

Provider Legal NameDR. LAUREL KELSEY ALYSSA HENDERSONCredential: DDS

Location Address725 ALBANY STREET, 6TH FLOOR, SUITE 6ABoston, MA 02118

Mailing Address725 Albany Street, 6th Floor, Suite 6aBoston, MA 02118 · (617) 358-6775 · Fax (617) 358-6781

Phone(617) 358-6775

Fax(617) 358-6781

Sole ProprietorNo

Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2013

Enumeration DateJanuary 8, 2019

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1205309648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral MedicineDental Providers

Taxonomy Code125Q00000X

License✔ Licensed in CA · 104477

Definition

Oral Medicine is the specialty of dentistry responsible for the oral health care of medically complex patients and for the diagnosis and management of medically related diseases, disorders and conditions affecting the oral and maxillofacial region. Oral Medicine specialists have training and expertise in the diagnosis and management of oral and mucosal diseases, medical management of maxillofacial pathologies from hematology and oncology, organ transplant services, autoimmune disorders, including acute and chronic pain conditions of oral & maxillofacial region. Oral Medicine specialists co-manage oral and maxillofacial conditions and diseases in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics, particularly in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.

Also ListedDentist · Orofacial PainTaxonomy 1223X2210X · License 104477 (CA)

725 ALBANY STREET, 6TH FLOOR, Boston, MA 02118

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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 and accepts Medicare assignment

Dr. 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.

PECOS PAC ID7012244098

PECOS Enrollment IDI20251202001436

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.

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, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

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 725 Albany Street, 6th Floor Suite 6A, Boston, MA 02118. The listed phone number is (617) 358-6775.

What is Laurel Henderson's specialty?

The primary specialty registered for this NPI is Oral Medicine with taxonomy code 125Q00000X.

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 July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.