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Dr. Michael Henderson , DDS

Dentist β€’ Shoreview, MN

Active NPI 1821538265 Individual Practitioner Male Practitioner
Practice location in NPPES

3200 Lexington Ave N Ste B
Shoreview, MN 551268118

Call 6512558888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3200 Lexington Ave N Ste B

Shoreview, MN 551268118

Telephone 6512558888
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Maplewood, MN; Minneapolis, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

30-day fills

14 standardized 30-day fills in 2021

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$67 in 2021

The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.

Open Payments general payments, program year 2021

All general payments: $38.24 across 2 records.

By nature of payment

  • Education: $25.00 across 1 record.
  • Food and Beverage: $13.24 across 1 record.

Reporting-company totals

  • Straumann USA LLC: $25.00 across 1 record.
  • ULTRADENT PRODUCTS INC: $13.24 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Henderson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Henderson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Shoreview and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Henderson are from 2021.

2 active clinicians are listed under Dentist with a practice address in Shoreview, MN (1,796 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2021), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $38.24.

Manufacturer Payment Nature Product Type Amount ($)
Straumann USA LLC
Education
In-kind items and services
β€” General $25.00
ULTRADENT PRODUCTS INC
Food and Beverage
Cash or cash equivalent
Opalescence General $13.24

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2021.

CMS Part D Β· Data Year 2021
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 14 120 $67.09 13

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-02-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MN D13957

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MN D13957

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20180710000844

Enrollment State Jurisdiction

MN

PECOS Control ID

1951657758

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

606 24th Ave S, Suite 200

Minneapolis, MN 554541455

Phone: 6126598689

1670 Beam Ave Ste 204

Maplewood, MN 551091227

Phone: 6519258400

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location February 16, 2021

Registered at 3200 LEXINGTON AVE N STE B, SHOREVIEW, MN 551268118 (Tel: 6512558888)

πŸ“
Updated Business Mailing Address February 16, 2021

Registered at 3200 LEXINGTON AVE N STE B, SHOREVIEW, MN 551268118 (Tel: 6512558888)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2021

Dentist (license number reported to NPPES: MN D13957)

πŸ“
Updated Practice Location January 19, 2019

Registered at 1670 BEAM AVE STE 204, MAPLEWOOD, MN 551091227 (Tel: 6519258400)

πŸ‘€
Provider Name / Credentials Updated January 19, 2019

Recorded as MICHAEL HENDERSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2019

Dentist (license number reported to NPPES: MN D13957)

βœ…
NPI Profile Active March 05, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 05, 2017

Registered at 606 24TH AVE S, SUITE 200, MINNEAPOLIS, MN 554541455 (Tel: 6126598689)

πŸ“
Business Mailing Address (Initial Record) March 05, 2017

Registered at 820 EMERALD ST, UNIT 413, SAINT PAUL, MN 551141062 (Tel: 5079932037)

πŸ‘€
Provider Name / Credentials (Initial Record) March 05, 2017

Recorded as MICHAEL HENDERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 05, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821538265
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2017
Last Update: February 16, 2021
Sole Proprietor: Yes

Mailing Address

3200 Lexington Ave N Ste B

Shoreview, MN 551268118

Phone: 6512558888

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.