Individual provider Active NPI

Scott Thomas Henson

  • Dentist
  • Wilsonville, OR
National Provider Identifier
1730376195
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D8948 Issued in OR
Practice address
29585 SW Park PL
Ste F
Wilsonville, OR 97070-6879
Phone
(503) 547-3242
NPI assigned
Oct 1, 2007
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8948 OR Primary

Addresses

Primary practice location

29585 SW Park PL
Ste F
Wilsonville, OR 97070-6879

Mailing address

29585 SW Park PL
Ste F
Wilsonville, OR 97070-6879
Phone (503) 547-3242

Other names 1

  • Dr. Scott Thomas Henson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D8948ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott T. Henson D.D.S, M.S.D, P.C Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1730376195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29585 SW PARK PL",
            "address_2": "STE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706879",
            "telephone_number": "503-547-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29585 SW PARK PL",
            "address_2": "STE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970706879",
            "telephone_number": "503-547-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "HENSON",
            "middle_name": "THOMAS",
            "prefix": "DR.",
            "credential": "D.D.S, M.S.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.