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JAMES MARTIN HENDERSON M.D./DDS
NPI 1295799963
Oral & Maxillofacial Surgery in Charleston, WV

Active since April 12, 2006PECOS Enrolled
415 MORRIS ST, SUITE 309, CHARLESTON, WV 25301(304) 388-3290(304) 388-3186 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Martin Henderson M.d./dds NPPES

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

JAMES MARTIN HENDERSON M.D./DDS (NPI 1295799963) is an individual oral & maxillofacial surgery provider in Charleston, West Virginia, licensed in West Virginia (20470) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295799963
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJAMES MARTIN HENDERSONCredential: M.D./DDS
Location Address415 MORRIS ST, SUITE 309Charleston, WV 25301-1842
Mailing Address415 Morris St, Suite 304Charleston, WV 25301-1842 · (304) 388-7782 · Fax (304) 388-7788
Phone(304) 388-3290
Fax(304) 388-3186
Sole ProprietorNo
Enumeration DateApril 12, 2006
Last NPPES UpdateJune 9, 2011
✔ NPI 1295799963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in WV · 20470
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 20470 (WV)
415 MORRIS ST, Charleston, WV 25301
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Other Identifiers 7

Medicaid4002055-000WV
Medicare UPINH41479
Medicare PINHE4054512
Medicaid4002055001WV
Other850000287Railroad Medicare
Medicare PINHE4054511
Medicare PIN850000287

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Martin Henderson M.d./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.

Medicare Billing Reassignment

Medicare enrollment records show James Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc
0.3 mi
Oral and Maxillofacial Surgery
1215 VIRGINIA ST E
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 12 clinicians in this Medicare group
NPI 1346201183 (304) 345-1092

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. ROBERT JOSEPH CROW JR. M.D.
Neurological Surgery
415 MORRIS ST, SUITE 400
CHARLESTON, WV 25301
Kanawha County (304) 344-3551
NICHOLAS CASSIS JR. M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
415 MORRIS ST, SUITE 300
CHARLESTON, WV 25301
Kanawha County (304) 345-6303
DAWN MARIE FIELDS FNP-BC
Nurse Practitioner
415 MORRIS ST, SUITE 300
CHARLESTON, WV 25301
Kanawha County (304) 388-6441
WARREN DOUGLAS REYNOLDS PA-C
Physician Assistant (Surgical)
415 MORRIS ST, SUITE 201
CHARLESTON, WV 25301
Kanawha County (304) 388-7700
DR. SHADI J ABU-HALIMAH MD
Surgery (Vascular Surgery)
415 MORRIS ST, SUITE 105
CHARLESTON, WV 25301
Kanawha County (304) 388-6412
SIDNEY C. LERFALD, MD
Specialist
415 MORRIS ST, SUITE 306
CHARLESTON, WV 25301
Kanawha County (304) 343-1022
INTEGRATED HEALTH CARE PROVIDERS, INC.
Psychiatry & Neurology (Neurology)
415 MORRIS ST, SUITE 100
CHARLESTON, WV 25301
Kanawha County (304) 388-6620
INTEGRATED HEALTH CARE PROVIDERS, INC.
Orthopaedic Surgery
415 MORRIS ST, SUITE 104
CHARLESTON, WV 25301
Kanawha County (304) 343-4691

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 James Henderson's NPI number?

The NPI number for James Henderson is 1295799963. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is James Henderson located?

James Henderson practices at 415 Morris St Suite 309, Charleston, WV 25301. The listed phone number is (304) 388-3290.

What is James Henderson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is James Henderson enrolled in Medicare?

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

Which organization bills Medicare for James Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Henderson reassigns Medicare benefits to Drs Brock, Henderson, Di Prisco, Ravelo And Green Inc (Charleston, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Henderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Florida Combined Life and 4 other insurers list James Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Henderson was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.