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DR. MICHAEL SCOTT HENRIKSEN DDS
NPI 1689297962
Dentist - Oral and Maxillofacial Surgery in Fresno, CA

Active since May 21, 2020Opted out of Medicare · through Aug 2, 2026
1313 E HERNDON AVE STE 104, FRESNO, CA 93720(559) 435-7993 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2024, May 21, 2020 (2 updates tracked since 2020).

About Dr. Michael Scott Henriksen Dds NPPES

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

DR. MICHAEL SCOTT HENRIKSEN DDS (NPI 1689297962) is an individual oral and maxillofacial surgery provider in Fresno, California, licensed in California (105633) and active in the NPI registry since May 2020. He has opted out of Medicare through August 2, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689297962
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MICHAEL SCOTT HENRIKSENCredential: DDS
Location Address1313 E HERNDON AVE STE 104Fresno, CA 93720-3306
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804
Phone(559) 435-7993
Sole ProprietorNo
Enumeration DateMay 21, 2020
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1689297962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 105633
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1313 E HERNDON AVE STE 104, Fresno, CA 93720
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Humana, Renaissance Dental and more.Insurance ›

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. Michael Scott Henriksen Dds 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 August 2, 2024 through August 2, 2026.

Opt-Out Effective DateAugust 2, 2024
Opt-Out In Effect ThroughAugust 2, 2026Opt-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 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 3

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

ANDREW R. RAHN, DDS, PC
Dentist (Oral and Maxillofacial Surgery)
1313 E HERNDON AVE STE 104
FRESNO, CA 93720
Fresno County (559) 435-7993
ANN MARIE GRADY, D.D.S., PC
Dentist (Oral and Maxillofacial Pathology)
1313 E HERNDON AVE STE 104
FRESNO, CA 93720
Fresno County (559) 435-7993
ANDREW ROBERT RAHN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1313 E HERNDON AVE STE 104
FRESNO, CA 93720
Fresno County (559) 435-7993

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 Michael Henriksen's NPI number?

The NPI number for Michael Henriksen is 1689297962. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Michael Henriksen located?

Michael Henriksen practices at 1313 E Herndon Ave Ste 104, Fresno, CA 93720. The listed phone number is (559) 435-7993.

What is Michael Henriksen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Henriksen enrolled in Medicare?

No. Michael Henriksen has opted out of Medicare through August 2, 2026. 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 Michael Henriksen accept?

Health plans from BEST Life, Humana, Renaissance Dental and UnitedHealthcare list Michael Henriksen 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 Michael Henriksen was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.