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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97703 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.82
  • Minimum New Patient Price $54.96
  • Maximum New Patient Price $166.64
  • Average New Patient Copayment $21.2
  • Minimum New Patient Copayment $13.74
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.68
  • Maximum Established Patient Price $136.19
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.42
  • Maximum Established Patient Copayment $34.04

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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.