Laurel Kelsey Alyssa Henderson, DDS
NPI 1205309648ActiveIndividual· Dentist· Stanford, CA
Dentist (DDS) in Stanford, California, trained at University of South Carolina School of Medicine (class of 2013). Part D covered 393 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1205309648 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jan 8, 2019 |
| Last updated in NPPES | Sep 2, 2026 |
| Certified by provider | Sep 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 104477 | CA |
| Dentist, Orofacial Pain | 1223X2210X | 104477 | CA |
| Oral Medicine | 125Q00000X | 104477 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (MA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 393 · 523 30-day fills |
|---|---|
| Patients | 140 |
| Total drug cost | $15,644 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | University of South Carolina School of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Oral Surgery |
Medical group
- Trustees of Boston UniversityBoston, MA · 42 clinicians
Hospital affiliation
- Boston Medical CenterBoston, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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