Doctor profile · Federal record
Dr. Keith Henderson, DDS
Dentist · San Diego, CA
- NPI 1174777841
- 18 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
16766 Bernardo Center Dr, 201
San Diego, CA 921282545
(858) 485-0200
fax (858) 485-1691
Credentials & registration
- NPI registered
- November 2008 — 18 yrs on file
- Profile last updated
- November 22, 2010
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #45112
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174777841. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$340
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Straumann USA LLC | 3 | $300.00 | |
| Align Technology, INC. | 1 | $22.99 | |
| Philips North America LLC | 1 | $16.56 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$29
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 13 | 0 | $29 |
Frequently asked questions
What is Dr. Keith Henderson's medical specialty?
Dr. Keith Henderson practices Dentist in San Diego, CA.
Where does Dr. Keith Henderson practice?
Dr. Keith Henderson practices at 16766 Bernardo Center Dr, San Diego, CA 921282545. Office phone: 8584850200.
What is Dr. Keith Henderson's NPI?
Dr. Keith Henderson's National Provider Identifier (NPI) is 1174777841, issued by NPPES.