Caroline Henderzahs, DDS, MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

12013795A Issued in IN

Practice address

415 N 26TH St Ste 303
Lafayette, IN 47904-2893

Phone

(765) 447-9319

Fax

(765) 447-7227

NPI assigned

Jul 15, 2025

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 IN

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.

• Periodontal Associates of South Bend

  • Periodontics
  • South Bend, IN
  • NPI 1962078642
  NPD (past)

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1487545612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 303",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042893",
            "telephone_number": "765-447-9319",
            "fax_number": "765-447-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 26TH ST STE 303",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042893",
            "telephone_number": "765-447-9319",
            "fax_number": "765-447-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025211",
            "country_code": "US",
            "telephone_number": "317-274-7297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1918 Edison Rd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466171711",
            "country_code": "US",
            "telephone_number": "574-287-8900",
            "fax_number": "574-233-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERZAHS",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IN",
            "license": "12013795A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Joseph Hemersbach, MA, LMFT, LSW
• Elizabeth Marie Henady, RPH
• Kimberly Hendershott, RBT
• Jessica Rae Henderson
• Lee Allen Henderson, MD
• Cheyanne Hendren
• Hillary Hendrick
• Jason Paul Hendrick, MD
• Kristin Nicole Henrich, PHARMD
• Brett A Henrikson, D.D.S.

• Periodontics in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Periodontics in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.