Connor Henderson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8159 Issued in NV

Practice address

3187 Mossfield Ave
Henderson, NV 89052-4580

Phone

(801) 874-5917

NPI assigned

May 31, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Connor Henderson DMD PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1003707399
  NPD Authorized official
• J&L Dental Group, PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1023526365
  NPD (past)

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1669165155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 CONNEMARA LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762449464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 MOSSFIELD AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524580",
            "telephone_number": "801-874-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39418",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henderson Sunrise Nielson PDC PLLC
• Henderson Surgery Center
• Henderson Vision Care LLC
• Chantel Henderson
• Christina Henderson
• Richard Henderson, MD
• Robert Henderson, LADC
• Selena Nicole Henderson, APRN, FNP-BC
• Shelly Henderson
• Stephanie Henderson

• General Practice Dentistry in Henderson, NV
• Providers in Henderson, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.