Myron Henrickson, DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

D9492 Issued in MN

Legal business name

MYRON HENRICKSON, DDS PA

Doing business as

Henrickson Dental

Practice address

1560 Beam Ave
Suite 2
Maplewood, MN 55109-1191

Phone

(651) 777-8900

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Myron A Henrickson

Title

Owner

Phone

(651) 777-8900

Specialties & licenses 1

Addresses

Other names 1

• Henrickson Dental 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.

• Mike R Henrickson, DDS

  • General Practice Dentistry
  • Maplewood, MN
  • NPI 1629291380
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1740444827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BEAM AVE",
            "address_2": "SUITE 2",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091191",
            "telephone_number": "651-777-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BEAM AVE",
            "address_2": "SUITE 2",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091191",
            "telephone_number": "651-777-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON HENRICKSON, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "HENRICKSON",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-777-8900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henrickson Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Kristin Munson, R.D., L.D.
• John D Murray, D.O.
• Tasnim Mushannen
• Abijah Muthyala, M.D.
• My Medical Clinic PLLC
• Baylee Nahan
• Kathleen Nakata
• Sakina B Naqvi, M.D
• Anthony R Nardi, MD
• Terri L Narow, NNP

• Dentist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.