Katelyn Joyce Henderson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D9492 Issued in NC

Practice address

626 Kirby Rd
King, NC 27021-9496

Phone

(336) 983-4565

NPI assigned

Jul 8, 2013

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austin L. Temple, III, DDS, PA

  dba Austin L. Temple, III, DDS, PA,King

  • Dental Clinic/Center
  • King, NC
  • NPI 1245681782
  NPD (past)
• Gary V. Monteith DDS PA

  • General Practice Dentistry
  • King, NC
  • NPI 1487710794
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1053752055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 KIRBY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219496",
            "telephone_number": "336-983-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 KIRBY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219496",
            "telephone_number": "336-983-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATELYN",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "D9492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Harper, MA-CCC,SLP
• Laken Harris, M.A., CCC-SLP
• Samantha Hayes, P-LCSW
• Austin Haymore, DPT
• Katherine Blackmon Haymore, CPNP
• Natasha Shurketra Hjorth, LCMHC, LCAS-A
• Ashley Nicole Holder, NP-C
• Grace Victoria Hollifield, OTR/L
• Rebecca Frasher Horton, RN
• Kaleab Mycheal Damien Hubbard-Holden, PTA

• Dentist in King, NC
• Providers in King, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.