Rose Marie Henderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1209 Issued in SD

Practice address

404 Grand Xing
Mobridge, SD 57601-2046

Phone

(605) 845-5454

Fax

(605) 845-5808

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henderson Chiropractic Clinic, PLLC

  • Chiropractor
  • Mobridge, SD
  • NPI 1497472971
  NPD Authorized official
• Keller Chiropractic Clinic, PC

  • Chiropractor
  • Mobridge, SD
  • NPI 1982908018
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1083883383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-5454",
            "fax_number": "605-845-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-5454",
            "fax_number": "605-845-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lynn Hanna
• Kim Marie Hannan, OTR/L
• Merhej Hannun, MD
• Henderson Chiropractic Clinic, PLLC
• Josh B Henderson, DO
• Travis B Henderson, MD
• Mary Lerae Herman
• Andrew Paul Hoffman, M.D.
• Anette Hollenbeck, CNP
• Malissa Holm, COTA

• All providers in Mobridge, SD
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.