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Kasey Hendricks, DDS

NPI 1811419930ActiveIndividual· Dentist· Mesa, AZ

Dentist (DDS) in Mesa, Arizona, licensed in AZ and ID, with an NPI issued in July 2017. Part D covered 27 prescriptions written in 2024, 100% of them generic.

Overview

NPI1811419930
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedJul 11, 2017
Last updated in NPPESMar 8, 2023
Certified by providerMar 8, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XD010145AZ
Dentist122300000XD-4856ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)27 · 27 30-day fills
Patients15
Total drug cost$117.10
Generic share100% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Mesa

All 239 dentists in Mesa · All dentists in Arizona