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

Q: 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.

Q: 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.

Q: Is Brent Henriksen enrolled in Medicare?

No. Brent Henriksen has opted out of Medicare through June 28, 2028. 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.

Q: When was this NPI record last updated?

The NPPES record for Brent Henriksen was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since March 29, 2007Opted out of Medicare · through Jun 28, 2028

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: August 16, 2026.

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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 has opted out of Medicare through June 28, 2028 and remains eligible to order and refer.

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

Phone(605) 331-5059

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan.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

Brent Jason Henriksen M.d., D.d.s. 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 June 28, 2014 through June 28, 2028.

Opt-Out Effective DateJune 28, 2014

Opt-Out In Effect ThroughJune 28, 2028Opt-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 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?

No. Brent Henriksen has opted out of Medicare through June 28, 2028. 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.