Timothy James Hendeson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1055 Issued in SD

Legal business name

TIMOTHY JAMES HENDESON

Practice address

610 East Blvd
Rapid City, SD 57701-2902

Phone

(605) 342-3908

Fax

(605) 342-0250

NPI assigned

Apr 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy James Henderson, D.C.NPI 1174571780

Title

Chiropractor

Phone

(605) 430-0382

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy James Henderson, DC

  • Chiropractor
  • Rapid City, SD
  • NPI 1174571780
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1083000624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-342-3908",
            "fax_number": "605-342-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-342-3908",
            "fax_number": "605-342-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY JAMES HENDESON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-430-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602532",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrive Therapy Collective LLC
• Norma Jo Tibbitts, R.N
• Patrick M Tibbles, MD
• Cooper Lee Timm, M.S.
• Kirsten Timmer, SLP
• Timothy L Kelly DDS
• Timothy L Kelly Dental Prof. LLC
• Anne Tingley, BA, ACT
• Kettie Ann Tisher-Farnam, LPC-MH
• Sammi Jo Tivis, D.C.

• Chiropractor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.