Active NPI
Kelly S Henrichs, D.D.S.
- General Practice Dentistry
- Dodge City, KS
National Provider Identifier
1316911696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6207
- Practice address
- 100 W Ross Blvd
Building 2 Suite C
Dodge City, KS 67801-7216 - Phone
- (620) 225-6555
- Fax
- (620) 225-3058
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6207 | KS | Primary |
Addresses
Primary practice location
100 W Ross Blvd
Building 2 Suite C
Dodge City, KS 67801-7216
Mailing address
100 W Ross Blvd
Building 2 Suite C
Dodge City, KS 67801-7216
Phone (620) 225-6555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008753 | Other | KS | BLUE CROSS BLUE SHIELD |
| 6207 | Other | KS | DELTA DENTAL |
| 882377 | Other | KS | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6207 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Heights Dental Center, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Dodge City, KS
- NPI 1811542640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316911696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W ROSS BLVD",
"address_2": "BUILDING 2 SUITE C",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678017216",
"telephone_number": "620-225-6555",
"fax_number": "620-225-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W ROSS BLVD",
"address_2": "BUILDING 2 SUITE C",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678017216",
"telephone_number": "620-225-6555",
"fax_number": "620-225-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRICHS",
"first_name": "KELLY",
"middle_name": "S",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "6207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "008753",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "6207",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "882377",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.