Cynetha Nycole Henderson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027056 Issued in OH

Practice address

121 E 6TH Ave Ste 101
Lancaster, OH 43130-2595

Phone

(740) 475-0700

Fax

(740) 475-0703

NPI assigned

Jan 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• The University of Texas Health Science Center at Houston

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1104865013
  NPD (past)
• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1962154245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 6TH AVE STE 101",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302595",
            "telephone_number": "740-475-0700",
            "fax_number": "740-475-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 6TH AVE STE 101",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302595",
            "telephone_number": "740-475-0700",
            "fax_number": "740-475-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Travis St Ste 460",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301316",
            "country_code": "US",
            "telephone_number": "713-500-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CYNETHA",
        "middle_name": "NYCOLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Danielle Helm
• Lauren Helm
• Heather Helser
• Morgan Helser, MS-SLP COND.
• Dylan Hemsted
• Jessica Rae Henderson
• Kacie Marie Hendricks
• Brian L Hendrickson, D.O.
• Mark David Henry, OD
• Bradley William Hensley, PHARMD

• Dentist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.