Individual provider Active NPI

Kara M Henderson

  • General Practice Dentistry
  • Warrenton, NC
National Provider Identifier
1811081037
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7285 Issued in NC
Practice address
516 W Ridgeway St
Warrenton, NC 27589-1716
Phone
(252) 257-3054
Fax
(252) 257-4755
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7285 NC Primary

Addresses

Primary practice location

516 W Ridgeway St
Warrenton, NC 27589-1716

Mailing address

516 W Ridgeway St
Warrenton, NC 27589-1716
Phone (252) 257-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609000177 NC Order and Referring Only - DentistPractitioner - Dentist 2163712878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7285NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kara M Henderson DDS PLLC General Practice Current Accepting new patients
Kara Henderson, DDS, PA II General Practice Current Accepting new patients

Locations

516 W Ridgeway St
Warrenton, NC 27589
Phone (252) 257-3054

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1811081037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W RIDGEWAY ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275891716",
            "telephone_number": "252-257-3054",
            "fax_number": "252-257-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W RIDGEWAY ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275891716",
            "telephone_number": "252-257-3054",
            "fax_number": "252-257-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KARA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, NC

Sources for this page

Verify at the official NPI Registry.