Lara Henderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6583 Issued in LA

Practice address

608 N Avenue K
Crowley, LA 70526-4514

Phone

(337) 788-0677

Fax

(337) 783-0343

NPI assigned

Aug 7, 2015

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 LA

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

Practice roles

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.

• Acadiana Smiles

  • Dentist
  • Crowley, LA
  • NPI 1184915274
  NPD (past)

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1205212750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264514",
            "telephone_number": "337-788-0677",
            "fax_number": "337-783-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N AVENUE K",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705264514",
            "telephone_number": "337-788-0677",
            "fax_number": "337-783-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvest Labs, Inc.
• Healthy Solutions Clinic of Crowley
• Heather Prejean LCSW, Inc
• Dana Hebert
• Tanner Joseph Hebert, DC
• Theresa Henny
• Staci Montgomery Henry
• Hensgens Health LLC
• Heidi Hensgens, RDN, LDN
• Jennifer Michelle Hiatt, MS, PLPC, NCC

• Dentist in Crowley, LA
• Providers in Crowley, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.