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DR. MICHAEL HENDERSON DDS
NPI 1821538265
Dentist in Shoreview, MN

Active since March 05, 2017PECOS Enrolled
3200 LEXINGTON AVE N STE B, SHOREVIEW, MN 55126(651) 255-8888 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2021, Jan 19, 2019, Mar 5, 2017 (3 updates tracked since 2017).

About Dr. Michael Henderson Dds NPPES

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

DR. MICHAEL HENDERSON DDS (NPI 1821538265) is an individual dentist in Shoreview, Minnesota, licensed in Minnesota (D13957) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821538265
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL HENDERSONCredential: DDS
Location Address3200 LEXINGTON AVE N STE BShoreview, MN 55126-8118
Mailing Address3200 Lexington Ave N Ste BShoreview, MN 55126-8118 · (651) 255-8888
Phone(651) 255-8888
Sole ProprietorYes
Enumeration DateMarch 5, 2017
Last NPPES UpdateFebruary 16, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
✔ NPI 1821538265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D13957
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D13957 (MN)
3200 LEXINGTON AVE N STE B, Shoreview, MN 55126
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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)

Dr. Michael Henderson Dds 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 55126 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 Michael Henderson's NPI number?

The NPI number for Michael Henderson is 1821538265. It was assigned to this individual provider in the NPPES registry on March 5, 2017.

Where is Michael Henderson located?

Michael Henderson practices at 3200 Lexington Ave N Ste B, Shoreview, MN 55126. The listed phone number is (651) 255-8888.

What is Michael Henderson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Henderson enrolled in Medicare?

Yes. Michael Henderson is registered in the Medicare PECOS enrollment system.

What insurance does Michael Henderson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Michael Henderson 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 Henderson was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.