Active NPI
Carol Dee Horton-Henley, DDS
- Dentist
- Saint Louis, MO
National Provider Identifier
1477554848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 014941
- Practice address
- 401 Holly Hills Ave
Saint Louis, MO 63111-2410 - Phone
- (314) 353-5190
- Fax
- (314) 353-7631
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 014941 | MO | Primary |
Addresses
Primary practice location
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Mailing address
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone (314) 353-5190
Other practice location 1
5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone (314) 367-5820 ext. 2306
Other practice location 2
4352 Manchester Ave
Saint Louis, MO 63110-2138
Phone (314) 531-5444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402607295 | Medicaid | MO | |
| 40918905 | Medicaid | MO |
Other names 1
- Ms. Carol Dee Horton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carestl Health | Current | Accepting new patients | |
| Family Care Health Centers | Past | Accepting new patients | |
| Family Care Health Centers | Past | Accepting new patients |
Locations
5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1376685529
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1023285624
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1508867508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1477554848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HOLLY HILLS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631112410",
"telephone_number": "314-353-5190",
"fax_number": "314-353-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HOLLY HILLS AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631112410",
"telephone_number": "314-353-5190",
"fax_number": "314-353-7631"
}
],
"practiceLocations": [
{
"address_1": "5471 Dr Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631124265",
"country_code": "US",
"telephone_number": "314-367-5820 x2306",
"fax_number": "314-367-6326",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4352 Manchester Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102138",
"country_code": "US",
"telephone_number": "314-531-5444",
"fax_number": "314-531-0063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORTON-HENLEY",
"first_name": "CAROL",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402607295",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40918905",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "HORTON",
"middle_name": "DEE",
"prefix": "MS.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.