JESSICA ANN HENDERSON DMD
NPI 1699174771
Dentist - General Practice in Bend, OR

Active since August 14, 2014PECOS Enrolled
1016 NW NEWPORT AVE, BEND, OR 97703(541) 389-1107(541) 317-5958 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 9, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Jessica Ann Henderson Dmd NPPES

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

JESSICA ANN HENDERSON DMD (NPI 1699174771) is an individual general practice provider in Bend, Oregon, licensed in Oregon (D10117) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699174771
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJESSICA ANN HENDERSONCredential: DMD
Location Address1016 NW NEWPORT AVEBend, OR 97703
Mailing Address1016 Nw Newport AveBend, OR 97703 · (541) 389-1107 · Fax (541) 317-5958
Fax(541) 317-5958
Sole ProprietorYes
Enumeration DateAugust 14, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1699174771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D10117
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.

Also ListedDentistTaxonomy 122300000X · License D10117 (OR)
1016 NW NEWPORT AVE, Bend, OR 97703

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Ann Henderson Dmd 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 97703 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Dentist
1016 NW NEWPORT AVE
BEND, OR 97703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699174771, enumerated as an "individual" on August 14, 2014.

The provider is located at 1016 NW NEWPORT AVE BEND, OR 97703 and the phone number is (541) 389-1107.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: BEST Life, Blue Cross and Blue Shield of Montana,. Please consult your insurance carrier or call the provider to verify.