Individual provider Active NPI

Jordan Henke, DDS

  • General Practice Dentistry
  • Beaufort, SC
National Provider Identifier
1154948867
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10661 Issued in SC
Practice address
91 Sams Point Rd
Beaufort, SC 29907-2010
Phone
(843) 525-6866
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10661 SC Primary

Addresses

Primary practice location

91 Sams Point Rd
Beaufort, SC 29907-2010

Mailing address

91 Sams Point Rd
Beaufort, SC 29907-2010
Phone (843) 525-6866

Other practice location 1

29 Plantation Park Dr Ste 117
Bluffton, SC 29910-9015
Phone (843) 494-5004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20250609001007 SC Practitioner - Dentist 6608386719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Colorado School of Dentistry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Sleep Better SC, LLCGroup PAC ID 2668741794, 2 clinicians

Practice addresses (Care Compare)

29 Plantation Park Dr
Suite 117
Bluffton, SC 29910-9015
Phone (843) 494-5004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better SC, LLC Dentist CurrentSince May 1, 2025 Accepting new patients
Sleep Better SC, LLC CurrentSince May 1, 2025 Accepting new patients
Donovan Family Dentistry, LLC General Practice Past Accepting new patients

Locations

29 Plantation Park Dr
Ste 117
Bluffton, SC 29910
Phone (843) 494-5004

1022 Physicians Dr
#B
Charleston, SC 29414
Phone (843) 494-5004

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1154948867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SAMS POINT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072010",
            "telephone_number": "843-525-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SAMS POINT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072010",
            "telephone_number": "843-525-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Plantation Park Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299109015",
            "country_code": "US",
            "telephone_number": "843-494-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENKE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.