DR. CLINTON C HENRIE
NPI 1417158080
Dentist - General Practice in Anchorage, AK

Q: What is Clinton Henrie's NPI number?

The NPI number for Clinton Henrie is 1417158080. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Clinton Henrie's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Clinton Henrie enrolled in Medicare?

No. Clinton Henrie has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Clinton Henrie 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.

Active since May 30, 2007Opted out of Medicare · through Nov 9, 2027

4361 BONIFACE PKWY, ANCHORAGE, AK 99504(907) 333-1211(907) 333-8600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Clinton C Henrie NPPES

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

DR. CLINTON C HENRIE (NPI 1417158080) is an individual general practice provider in Anchorage, Alaska, licensed in Alaska (1172) and active in the NPI registry since May 2007. He has opted out of Medicare through November 9, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417158080

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CLINTON C HENRIE

Location Address4361 BONIFACE PKWYAnchorage, AK 99504-4316

Mailing Address1942 Circlewood DrAnchorage, AK 99516-1993 · (907) 333-1211 · Fax (907) 333-8600

Phone(907) 333-1211

Fax(907) 333-8600

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417158080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AK · 1172

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4361 BONIFACE PKWY, Anchorage, AK 99504

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Other Identifiers 1

MedicaidDD4557AK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Clinton C Henrie has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 9, 2017 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2017

Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99504 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

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.

Other Providers at the Same Location NPPES 9

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

FAMILY MEDICAL DENTAL CENTER OF ALASKA INC

Dentist (General Practice)