Active NPI
Dustin Todd Henderson, D.C.
- Chiropractor
- Tomball, TX
National Provider Identifier
1154556074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10781
- Practice address
- 24911 Kuykendahl Rd
Suite B
Tomball, TX 77375-3295 - Phone
- (281) 516-1138
- Fax
- (281) 516-1183
- NPI assigned
- May 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 10781 | TX | Primary |
Addresses
Primary practice location
24911 Kuykendahl Rd
Suite B
Tomball, TX 77375-3295
Mailing address
24911 Kuykendahl Rd
Suite B
Tomball, TX 77375-3295
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10781 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New 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 and National Provider Directory roles.
-
- Chiropractor
- Tomball, TX
- NPI 1134357148
-
- Chiropractor
- San Antonio, TX
- NPI 1831632629
-
- Chiropractor
- Tomball, TX
- NPI 1003250135
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": "1243296000000",
"number": "1154556074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24911 KUYKENDAHL RD",
"address_2": "SUITE B",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773753295",
"telephone_number": "281-516-1138",
"fax_number": "281-516-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24911 KUYKENDAHL RD",
"address_2": "SUITE B",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773753295",
"telephone_number": "281-516-1138",
"fax_number": "281-516-1183"
}
],
"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": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "10781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.