Andrew Chase Henderson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D10892 Issued in OR

Practice address

9020 SW Washington Square Rd Ste 570
Tigard, OR 97223-4477

Phone

(503) 862-9086

NPI assigned

Sep 19, 2018

Last updated

Mar 6, 2023By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andrew Henderson DMD P.C.

  • Dental Clinic/Center
  • Tigard, OR
  • NPI 1518577865
  NPD Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1447734132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SW WASHINGTON SQUARE RD STE 570",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234477",
            "telephone_number": "503-862-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ANDREW",
        "middle_name": "CHASE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Hein
• Adam James Heisinger, D.O.
• Braylee Heisinger
• Robert Thomas Helfend
• Donna Marie Lewis Hellums, RDH
• Diana Marie Henderson
• Ebonie Nicole Henderson
• Marie Henderson
• Tashina Louise Hendon
• Melissa Hendricks

• Dentist in Tigard, OR
• Providers in Tigard, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.