NPPES file of Aug 9, 2026

Jason David Henderson, DDS

General Practice Dentistry · Manlius, NY

Jason David Henderson, DDS is a general practice dentistry with a practice address in Manlius, New York, and NPI 1093987216, issued on Mar 27, 2008. Check the license (New York 054488, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093987216
Name
Jason David Henderson
Credential
DDS
Primary taxonomy
General Practice Dentistry 1223G0001X
License number
054488 NY
Self-reported in NPPES; status is on the state search
Practice location
8179 Cazenovia RD., Manlius, NY 13104
Phone
(315) 682-2466
Enumerated
Mar 27, 2008
Record last updated
Jun 13, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(315) 682-3179
Medicaid ID
1316096340 NY
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Jason David Henderson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 054488
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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40% more Medicare Part D claims than the average general practice dentistry in 2024

116 Medicare Part D claims for 62 beneficiaries, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D.

  1. Jason Henderson116
  2. Specialty average83

Most prescribed

  1. Amoxicillin65 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $79.41

3 payments; by number, the most common kind was food and beverage; the largest payer was Dentsply Sirona Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jason Henderson$79.41
  2. Specialty average$597.01

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jason David Henderson among 7,828 general practice dentistry records in New York

Jason David Henderson, DDS is one of 7,828 general practice dentistry records with a practice address in New York. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 65% of them.

  • NPI issued2008 · 65% of these records are older, 29% newer
  • In a Medicare fileYes · 60% of these records are
  • In the CMS Doctors and Clinicians fileNo · under 1% of these records are
  • Record last updated2012 · 79% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 general practice dentistry records list a practice address in Manlius

They are 9 of the 216 NPPES records with a practice address in Manlius, and 7,828 general practice dentistry records in New York.

The 8 general practice dentistry records with the nearest ZIP codes

  1. Mark Boule, D.D.S.Manlius, NY 131041073608212
  2. Kevin Hickey, DDSManlius, NY 131041194732834
  3. Brandon Magill, D.M.DManlius, NY 131041598745176
  4. Gregory Mohr, DDSManlius, NY 131041720173610
  5. Gary Revercomb, DMDManlius, NY 131041649371501
  6. Jacob Revercomb, DDSManlius, NY 131041700987674
  7. Harold Rodman, DDSCazenovia, NY 131041487853537
  8. Chance Wagner, DMDManlius, NY 131041073256871

Common questions

What is Jason David Henderson, DDS's NPI number?

Jason David Henderson, DDS's National Provider Identifier (NPI) is 1093987216, issued on Mar 27, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Jason David Henderson, DDS located?

The NPPES record lists a practice address at 8179 Cazenovia RD., Manlius, NY, 13104. Phone: (315) 682-2466. Providers update this record themselves, so call before visiting.

How can I verify Jason David Henderson, DDS's license?

NPPES lists New York license number 054488, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

How much does Jason David Henderson, DDS prescribe under Medicare Part D?

In 2024, Jason David Henderson, DDS had 116 Medicare Part D claims for 62 beneficiaries; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.