Noah Mitchell Henrichsen

Primary specialty

DentistTaxonomy code 122300000X

License

D15462 Issued in MN

Practice address

10729 Town Square Dr NE Ste 150
Blaine, MN 55449-7924

Phone

(763) 269-8650

Fax

(763) 201-3377

NPI assigned

Jun 3, 2026

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

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.

• Imagine Smiles

  • Dental Clinic/Center
  • Blaine, MN
  • NPI 1174133698
  NPD (past)

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1598698367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10729 TOWN SQUARE DR NE STE 150",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497924",
            "telephone_number": "763-269-8650",
            "fax_number": "763-201-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10729 TOWN SQUARE DR NE STE 150",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497924",
            "telephone_number": "763-269-8650",
            "fax_number": "763-201-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICHSEN",
        "first_name": "NOAH",
        "middle_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niklas Fuqiang Heine, DDS
• Judy Marie Helgeson
• Brian J Helmrick, ATC
• Brittany Diane Henderson, LPCC
• Tamara Joy Hendrickson, ABO, NCLE
• Armanti Lamone Henry
• Michelle Nicole Herr, PHARMD
• Anastasia G Herrera
• Cynthia Joan Herrick, MD
• Adam Robert Hetz, PAC

• Dentist in Blaine, MN
• Providers in Blaine, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.