BRENT JASON HENRIKSEN M.D., D.D.S.
NPI 1821118480
Dentist - Oral and Maxillofacial Surgery in Sioux Falls, SD

Active since March 29, 2007PECOS Enrolled
1700 S. SOUTHEASTERN AVE., RIVER RIDGE ORAL AND MAXILLOFACIAL SURGICAL CENTER, SIOUX FALLS, SD 57103(605) 331-5059(605) 275-6725 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brent Jason Henriksen M.d., D.d.s. NPPES

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

BRENT JASON HENRIKSEN M.D., D.D.S. (NPI 1821118480) is an individual oral and maxillofacial surgery provider in Sioux Falls, South Dakota, licensed in Nebraska (6428) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821118480
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRENT JASON HENRIKSENCredential: M.D., D.D.S.
Location Address1700 S. SOUTHEASTERN AVE., RIVER RIDGE ORAL AND MAXILLOFACIAL SURGICAL CENTERSioux Falls, SD 57103
Mailing Address1700 S. Southeastern Ave., River Ridge Oral And Maxillofacial Surgical CenterSioux Falls, SD 57103 · (605) 331-5059 · Fax (605) 275-6725
Fax(605) 275-6725
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 25, 2008
NPI 1821118480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in NE · 6428 Licensed in SD · D0814
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.

1700 S. SOUTHEASTERN AVE., Sioux Falls, SD 57103

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)

Brent Jason Henriksen M.d., D.d.s. 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 57103 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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 Brent Henriksen's NPI number?

The NPI number for Brent Henriksen is 1821118480. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Brent Henriksen located?

Brent Henriksen practices at 1700 S. Southeastern Ave. River Ridge Oral And Maxillofacial Surgical Center, Sioux Falls, SD 57103. The listed phone number is (605) 331-5059.

What is Brent Henriksen's specialty?

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

Is Brent Henriksen enrolled in Medicare?

Yes. Brent Henriksen is registered in the Medicare PECOS enrollment system.

What insurance does Brent Henriksen accept?

Health plans from Avera Health Plans and Sanford Health Plan list Brent 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 Brent Henriksen was last updated on July 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.