Jessica a. Henderson PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JESSICA A. HENDERSON PC

Practice address

1016 NW Newport Ave
Bend, OR 97703-1618

Phone

(541) 389-1107

Fax

(541) 317-5958

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Ann Henderson, D.M.D.

Title

Dentist/Owner

Phone

(407) 247-1497

Specialties & licenses 1

Addresses

Other names 1

• Contemporary Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley E Johnson, DMD

  • General Practice Dentistry
  • Bend, OR
  • NPI 1518931260
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1720511173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55110 JACK PINE WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977072712",
            "telephone_number": "407-247-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 NW NEWPORT AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031618",
            "telephone_number": "541-389-1107",
            "fax_number": "541-317-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA A. HENDERSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "407-247-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Contemporary Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Jensen
• Mark E. Jensen, DMD
• Devon Jero, LPC
• Denise Colette Jerome, P.T.
• Christie Jespersen
• Jessica Karriker, LLC
• Jessica Rae Psychotherapy LLC
• Jessica Smith-Blockley, LLC
• Gail Marie Jett, NURSE PRACTITIONER
• Kristi J Jett, MD

• Dentist in Bend, OR
• Providers in Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.