Organization Active NPI

Stephanie Henderson, DDS LLC

  • Dentist
  • Plain City, OH
National Provider Identifier
1427941277
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STEPHANIE HENDERSON, DDS LLC
Doing business as
Stephanie Henderson, DDS LLC
Practice address
10690 Mangrove Loop
Plain City, OH 43064-3541
Phone
(614) 598-5086
NPI assigned
May 30, 2025
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Dr. Stephanie Henderson, DDSNPI 1235490293
Title
Dentist
Phone
(614) 598-5086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

10690 Mangrove Loop
Plain City, OH 43064-3541

Mailing address

10690 Mangrove Loop
Plain City, OH 43064-3541

Other names 1

  • Stephanie Henderson, DDS LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1427941277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10690 MANGROVE LOOP",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430643541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 MANGROVE LOOP",
            "city": "PLAIN CITY",
            "state": "OH",
            "postal_code": "430643541",
            "telephone_number": "614-598-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE HENDERSON, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "614-598-5086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Henderson, DDS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plain City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.