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DR. JACOB FRANCIS HENDERSON D.D.S.
NPI 1205960424
Dentist in Baton Rouge, LA

Active since March 16, 2007PECOS Enrolled
11424 SULLIVAN RD BLDG B SUITE A, BATON ROUGE, LA 70817(225) 261-6645(225) 262-9061 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Francis Henderson D.d.s. NPPES

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

DR. JACOB FRANCIS HENDERSON D.D.S. (NPI 1205960424) is an individual dentist in Baton Rouge, Louisiana, licensed in Louisiana (5406) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205960424
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB FRANCIS HENDERSONCredential: D.D.S.
Location Address11424 SULLIVAN RD BLDG B SUITE ABaton Rouge, LA 70817
Mailing Address11424 Sullivan Rd Bldg B Suite ABaton Rouge, LA 70817 · (225) 261-6645 · Fax (225) 262-9061
Phone(225) 261-6645
Fax(225) 262-9061
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205960424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in LA · 5406
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.
11424 SULLIVAN RD BLDG B SUITE A, Baton Rouge, LA 70817
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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. Jacob Francis 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 70817 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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 Jacob Henderson's NPI number?

The NPI number for Jacob Henderson is 1205960424. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Jacob Henderson located?

Jacob Henderson practices at 11424 Sullivan Rd Bldg B Suite A, Baton Rouge, LA 70817. The listed phone number is (225) 261-6645.

What is Jacob Henderson's specialty?

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

Is Jacob Henderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.