DR. SHAUN HENDERSON DMD
NPI 1982133849
Dentist in Kirtland, NM

Q: What is Shaun Henderson's NPI number?

The NPI number for Shaun Henderson is 1982133849. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Q: What is Shaun Henderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shaun Henderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 05, 2017

3 ROAD 6523, KIRTLAND, NM 87417(505) 598-6800 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017 (2 updates tracked since 2017).

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About Dr. Shaun Henderson Dmd NPPES

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

DR. SHAUN HENDERSON DMD (NPI 1982133849) is an individual dentist in Kirtland, New Mexico, licensed in New Mexico (DD4700) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1982133849

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SHAUN HENDERSONCredential: DMD

Location Address3 ROAD 6523Kirtland, NM 87417-9452

Mailing Address3 Road 6523Kirtland, NM 87417-9452 · (505) 598-6800

Phone(505) 598-6800

Sole ProprietorNo

Enumeration DateJune 5, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1982133849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NM · DD4700

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.

3 ROAD 6523, Kirtland, NM 87417

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR CLARK DDS

Dentist

3 ROAD 6523
KIRTLAND, NM 87417

San Juan County (505) 598-6800

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 Shaun Henderson's NPI number?

The NPI number for Shaun Henderson is 1982133849. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Shaun Henderson located?

Shaun Henderson practices at 3 Road 6523, Kirtland, NM 87417. The listed phone number is (505) 598-6800.

What is Shaun Henderson's specialty?

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

What insurance does Shaun Henderson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Shaun 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 Shaun Henderson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.