Individual provider Active NPI

Dustin Todd Henderson, D.C.

  • Chiropractor
  • Magnolia, TX
National Provider Identifier
1154556074
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10781 Issued in TX
Practice address
32811 Tamina Rd
Magnolia, TX 77354-2271
Phone
(281) 516-1138
Fax
(325) 939-0331
NPI assigned
May 21, 2009
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10781 TX Primary

Addresses

Primary practice location

32811 Tamina Rd
Magnolia, TX 77354-2271

Mailing address

32811 Tamina Rd
Magnolia, TX 77354-2271
Phone (281) 516-1138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10781TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lwchealth,LLC Chiropractor Past Accepting new patients
Abundant Life Chiropractic PA Chiropractor Past Accepting new patients
Airrosti Rehab Centers Chiropractor Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1154556074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32811 TAMINA RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542271",
            "telephone_number": "281-516-1138",
            "fax_number": "325-939-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32811 TAMINA RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542271",
            "telephone_number": "281-516-1138",
            "fax_number": "325-939-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DUSTIN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.