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DR. MARC HENNER
NPI 1427347525
Dentist - General Practice in Valley Stream, NY

Active since March 30, 2011Opted out of Medicare · through Jul 23, 2027
247 ROCKAWAY AVE, VALLEY STREAM, NY 11580(516) 825-2320(516) 825-2321 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Marc Henner NPPES

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

DR. MARC HENNER (NPI 1427347525) is an individual general practice provider in Valley Stream, New York, licensed in New York (056077) and active in the NPI registry since March 2011. He has opted out of Medicare through July 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427347525
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARC HENNER
Location Address247 ROCKAWAY AVEValley Stream, NY 11580-5827
Mailing Address247 Rockaway AveValley Stream, NY 11580-5827 · (516) 825-2320
Phone(516) 825-2320
Fax(516) 825-2321
Sole ProprietorNo
Enumeration DateMarch 30, 2011
Last NPPES UpdateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1427347525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 056077
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.
247 ROCKAWAY AVE, Valley Stream, NY 11580
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Marc Henner 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 July 23, 2019 through July 23, 2027.

Opt-Out Effective DateJuly 23, 2019
Opt-Out In Effect ThroughJuly 23, 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 11580 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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

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

DR. RICHARD HARVEY HENNER D.M.D
Dentist (General Practice)
247 ROCKAWAY AVE
VALLEY STREAM, NY 11580
Nassau County (516) 825-2320

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 Marc Henner's NPI number?

The NPI number for Marc Henner is 1427347525. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Marc Henner located?

Marc Henner practices at 247 Rockaway Ave, Valley Stream, NY 11580. The listed phone number is (516) 825-2320.

What is Marc Henner's specialty?

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

Is Marc Henner enrolled in Medicare?

No. Marc Henner has opted out of Medicare through July 23, 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.

What insurance does Marc Henner 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, Humana and Renaissance Dental list Marc Henner 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 Marc Henner was last updated on July 11, 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.