Kara Henderson, DDS, PA II

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KARA HENDERSON, DDS, PA II

Doing business as

Henderson Sedation and Hospital Dentistry

Practice address

451 Ruin Creek Rd Ste 105
Henderson, NC 27536-5920

Phone

(252) 492-3355

Fax

(252) 492-9938

NPI assigned

Mar 11, 2021

Last updated

Aug 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kara Michelle Henderson, DDSNPI 1811081037

Title

Owner

Phone

(252) 492-3355

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henderson Sedation and Hospital Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kara M Henderson

  • General Practice Dentistry
  • Warrenton, NC
  • NPI 1811081037
  NPD Authorized official

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1679158661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD STE 105",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365920",
            "telephone_number": "252-492-3355",
            "fax_number": "252-492-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD STE 105",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365920",
            "telephone_number": "252-492-3355",
            "fax_number": "252-492-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA HENDERSON, DDS, PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-492-3355",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811081037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Sedation and Hospital Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henderson Sedation and Hospital Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jyotimallika, D.M.D., P.L.L.C.
• Nirmala Purushotham Kamath, RPH
• Snigdha Kanakamedala, MD
• Hannah Kanthak, OTR/L
• Crystal Young Kaplan, ARNP
• Karing Hearts LLC
• Karma Wellness & Aesthetics, PLLC
• Kearah's Place Inc.
• Keeshes Ragland Kearney
• Rhonda Louise Kearney, DDS, MS

• General Practice Dentistry in Henderson, NC
• Providers in Henderson, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.