Active NPI
Henderson Upper Cervical Chiropractic P.a.
- Chiropractor
- Parkville, MD
National Provider Identifier
1124238845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MD 01671
- Legal business name
- HENDERSON UPPER CERVICAL CHIROPRACTIC P.A.
- Practice address
- 8304 Harford Rd
Parkville, MD 21234-5700 - Phone
- (410) 665-0000
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Troy Ross Henderson, D.C.
- Title
- President
- Phone
- (410) 665-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MD 01671 | MD | Primary |
Addresses
Primary practice location
8304 Harford Rd
Parkville, MD 21234-5700
Mailing address
8304 Harford Rd
Parkville, MD 21234-5700
Phone (410) 665-0000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M125HE | Other | MD | BLUE CROSS 4 DIGIT |
| 53254001 | Other | MD | BLUE CROSS 8 DIGIT |
| T 324-0001 | Other | MD | BLUE CORSS |
| FIRST HEALTH | Other | MH | 1915501 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Parkville, MD
- NPI 1023147188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124238845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8304 HARFORD RD",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212345700",
"telephone_number": "410-665-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8304 HARFORD RD",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212345700",
"telephone_number": "410-665-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSON UPPER CERVICAL CHIROPRACTIC P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-665-0000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MD",
"license": "MD 01671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS 4 DIGIT",
"identifier": "M125HE",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS 8 DIGIT",
"identifier": "53254001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CORSS",
"identifier": "T 324-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1915501",
"identifier": "FIRST HEALTH",
"state": "MH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.