Michael Scott Henriksen, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

105633 Issued in CA

Practice address

1313 E Herndon Ave Ste 104
Fresno, CA 93720-3306

Phone

(559) 435-7993

NPI assigned

May 21, 2020

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

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.

Opted out of Medicare

Previously, effective Aug 2, 2024 through Aug 2, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhenriksen303561@direct.llu.edu

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.

• Andrew R. Rahn, DDS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fresno, CA
  • NPI 1023505237
  NPD
• Ann Marie Grady, D.D.S., PC

  • Oral and Maxillofacial Pathology Dentistry
  • Fresno, CA
  • NPI 1063569929
  NPD (past)
• Central Valley Dental Implant

  • Oral and Maxillofacial Surgery (Dentist)
  • Visalia, CA
  • NPI 1467457465
  NPD (past)
• Central Valley Dental Implant & Oral Surgery Institute II

  • Oral and Maxillofacial Surgery (Dentist)
  • Visalia, CA
  • NPI 1154199404
  NPD (past)
• Robert E. Bell, DDS, Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulare, CA
  • NPI 1841295730
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1689297962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-435-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIKSEN",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "105633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Heng, OD
• Xee Heng, FNP
• Paris Henne
• Megan Lee Hennesy, PA-C
• Jennifer Tanner Henriksen, MSPT
• Carmen Henriquez
• Henry D. Fajardo, D.M.D., Inc.
• Carol Henry
• Claire Henry, OD
• Julie An Henry, RPH

• Oral and Maxillofacial Surgery (Dentist) in Fresno, CA
• Providers in Fresno, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.