Lori Henderson, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

015006 Issued in MO

Practice address

1506 Chapel Hill Rd Ste B
Columbia, MO 65203-5504

Phone

(573) 446-6868

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lorrine Marie Henderson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Lori Henderson

  • Pediatric Dentistry
  • Columbia, MO
  • NPI 1649783614
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1770513293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 CHAPEL HILL RD, STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035468",
            "telephone_number": "573-446-6868",
            "fax_number": "573-446-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CHAPEL HILL RD STE B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035504",
            "telephone_number": "573-446-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "015006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRINE",
            "last_name": "HENDERSON",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dala Frances Hemeyer, LCSW
• Cheryl A Hemme, MD
• Kristen Lynn Hemmersmeier, DO
• Shannon Hempstead, MD
• Laura E. Henderson Kelley, M.D, MPH
• Scott T Henderson, MD
• Peggy Lynn Hendren, OTR/L
• Brooke Christine Hendrickson
• Rebekah Suzanne Hendrickson
• Julie Hendrix, PLPC

• Pediatric Dentistry in Columbia, MO
• Providers in Columbia, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.