Dr. Mike R Henrickson, DDS
Dr. Mike R Henrickson is a General Practice Dentistry provider (Dentist) practicing in Maplewood, MN, registered in the NPPES registry with NPI 1629291380 since 2007. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1629291380 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mike R Henrickson |
| Credential | DDS |
| Sex | Male |
| Practice address | Maplewood, MN, 55109 |
| Phone | 6517778900 |
| Fax | 6517778908 |
| Enumeration date | 2007-04-11 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | D11920 | MN |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Mike Henrickson, DDS NPI: 1629291380 Taxonomy: 1223G0001X (General Practice Dentistry) Address: Maplewood, MN, 55109
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992774970 | Paul Duxbury | Individual | Orthopedic Physical Therapist | Maplewood, MN |
| 1225247885 | Brandi Meyer | Individual | Physical Therapy Assistant | Maplewood, MN |
| 1740444827 | Myron Henrickson, DDS PA | Organization | Dentist | Maplewood, MN |
| 1932343969 | Bhavana Anand | Individual | Preventive Medicine/Occupational Environmental Medicine Physician | Maplewood, MN |
| 1821302100 | Totianna Prudhomme | Individual | Acute Care Nurse Practitioner | Maplewood, MN |
| 1720490279 | Kyle Danielson | Individual | Dentist | Maplewood, MN |
| 1215344742 | My Medical Clinic Pllc | Organization | Multi-Specialty Clinic/Center | Maplewood, MN |
Verify this record
Cross-check NPI 1629291380 against the authoritative CMS record: view Dr. Mike R Henrickson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.