DR. MARK REAGAN HENDERSON (NPI# 1376562082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376562082 |
| Entity Type | Individual |
| Full Name | DR. MARK REAGAN HENDERSON |
| Credential | D.D.S. |
| Practice Address |
5700 Arnold St Tinker Afb OK 73145-8105 |
| Practice Telephone | 4057362113 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13986 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255372868 | Mark T Henderson | Emergency Medicine | 3607 Fern Valley Rd Ste 102, Louisville, KY 40219-1916 | 2006-06-08 |
| 1639139876 | Mark Shea Henderson | Surgery | 135 Plaza Dr, Suite 202, Sikeston, MO 63801-5136 | 2006-03-23 |
| 1992792840 | Mark William Henderson | Dentist | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2005-10-05 |
| 1699245084 | Mark Henderson | Occupational Therapist | 28 Ritters Ridge Ct, Owings Mills, MD 21117-3355 | 2018-11-28 |
| 1760902498 | Mark E Henderson | Family Medicine | 4600 Valley Rd Ste 200, Lincoln, NE 68510-4882 | 2017-06-23 |
| 1407138167 | Mark Henderson | Pharmacist | 6958 Goodman Rd, Olive Branch, MS 38654-7034 | 2011-09-19 |
| 1184895856 | Mark C Henderson | Internal Medicine | 4860 Y St Ste 100, Sacramento, CA 95817-2307 | 2008-03-20 |
| 1912178229 | Mark Glen Henderson | Obstetrics & Gynecology | 2575 S Cimarron Rd, 102, Las Vegas, NV 89117-2682 | 2008-03-13 |
| 1841370707 | Mark A Henderson | Radiology | 2400 17th St, Columbus, IN 47201 | 2006-10-16 |
| 1891895272 | Mark Henderson | Internal Medicine | 900 Broadway, Bangor, ME 04401-1900 | 2006-09-25 |
| Street Address |
5700 ARNOLD ST |
| City | TINKER AFB |
| State | OK |
| Zip Code | 73145-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051505 | Stacey Anne Frazier | Pediatrics | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2005-08-25 |
| 1104104595 | Maricruz Martinez | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2011-08-02 |
| 1831407006 | James Allan Pickren | Military Health Care Provider | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2010-09-21 |
| 1922338235 | Quynh Anh Hong Tran | Pharmacist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2010-01-08 |
| 1881823128 | Audrey Lynn May-jones | Dentist | 5700 Arnold St, 72mdg/sgd, Tinker Afb, OK 73145-8105 | 2009-07-08 |
| 1255575577 | Stuart Scott Smith | Military Health Care Provider | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2009-04-30 |
| 1508000282 | Axelandra Tamar Sang | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145 | 2009-04-27 |
| 1811131980 | Jackie Glen Whitten Jr. | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145-8105 | 2009-04-21 |
| 1083857189 | Jeanne Ann Lewis | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145-8105 | 2009-04-20 |
| 1578706602 | Brandi Nicole Kelley | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145-8105 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630946 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 | 2020-02-07 |
| 1578863437 | Stephanie Brushett | Audiologist | 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 | 2010-10-26 |
| 1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
| 1417945346 | Heather Renee' Ranger Kobel | Psychologist | 590 Mitchell Blvd, Tinker Afb, OK 73145 | 2005-10-13 |
| 1003332404 | Davis Brigman | Psychologist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-08-17 |
| 1801321393 | Carolyne Bangurah | Registered Nurse | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-04-21 |
| 1598148850 | Adrianna Harrell | Social Worker | 7050 Air Depot Blvd, Tinker Afb, OK 73145 | 2015-07-06 |
| 1558748491 | Caitlin Clare Stevens | General Practice | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2015-04-29 |
| 1699015032 | Alan Robert Miner | General Practice | 7050 Air Depot Blvd, Oklahoma City, OK 73145 | 2013-02-21 |
| 1033498571 | Sarah Katherine Turbush | Dentist | 72d Medical Group, Tinker Afb, OK 73145 | 2011-08-16 |
| Find all providers in zip 73145 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770863136 | Aaron Jeffrey Agirre | Dentist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145-8716 | 2011-08-17 |
| 1104104595 | Maricruz Martinez | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2011-08-02 |
| 1881823128 | Audrey Lynn May-jones | Dentist | 5700 Arnold St, 72mdg/sgd, Tinker Afb, OK 73145-8105 | 2009-07-08 |
| 1245255058 | Tristanne Marie Spottswood | Dentist | 5700 Arnold St, 72 Mdg/ds, Tinker Afb, OK 73145-8105 | 2006-07-13 |
| 1972563732 | Emory Russell Nelson | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2006-03-24 |
| 1861463655 | Mi Suke Kim | Dentist | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2006-01-30 |
| 1881685055 | Jeffery Baker | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808928 | Dentists of Oklahoma City, PC | Dentist | 12200 N Macarthur Blvd Ste I, Oklahoma City, OK 73162-1849 | 2020-10-13 |
| 1548874977 | Syed Hammad Reza | Dentist | 840 S Lynn Riggs Blvd, Claremore, OK 74017-8301 | 2020-09-02 |
| 1114538063 | Utica Family Dentistry Pllc | Dentist | 1720 S Utica Ave, Tulsa, OK 74104-5318 | 2020-08-13 |
| 1679183420 | Dentists of Moore and Orthodontics | Dentist | 740 Sw 19th St Ste C, Moore, OK 73160-3062 | 2020-08-06 |
| 1770192635 | Joseph Ghazal | Dentist | 1520 S Main St # 1, Blackwell, OK 74631-4921 | 2020-07-27 |
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1679190953 | Harmon Denture Clinic LLC | Dentist | 104 E Mcelroy Rd Ste 4, Stillwater, OK 74075-3803 | 2020-07-02 |
| 1548887946 | Hometown Dental of Yukon Pllc | Dentist | 1315 Holly Ave, Yukon, OK 73099-5407 | 2020-07-01 |
| 1093332959 | Graham Thomas Shadwick | Dentist | 1201 N Stonewall Ave Rm 241, Oklahoma City, OK 73117-1214 | 2020-06-26 |
| 1053937854 | Nathan Sethman | Dentist | 1410 N Louis Tittle Ave, Mangum, OK 73554-2218 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | TINKER AFB |
| Zip Code | 73145 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.