Individual provider Active NPI

Hannah Marie Henderson, DC

  • Chiropractor
  • Canandaigua, NY
National Provider Identifier
1205660388
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013873 Issued in NY
Practice address
142 Bemis St
Canandaigua, NY 14424-1503
Phone
(585) 394-2030
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013873 NY Primary

Addresses

Primary practice location

142 Bemis St
Canandaigua, NY 14424-1503

Mailing address

2321 State Route 14 Apt B
Lyons, NY 14489-9207
Phone (315) 887-0492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009002465 NY Practitioner - Chiropractic 2466983820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Chosen Spot Chiropractic and Wellness PLLCGroup PAC ID 2163651670, 5 clinicians

Practice addresses (Care Compare)

142 Bemis St
Canandaigua, NY 14424-1503
Phone (585) 394-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chosen Spot Chiropractic & Wellness PLLC Chiropractor CurrentSince Sep 19, 2024 Accepting new patients

Locations

142 Bemis St
Canandaigua, NY 14424
Phone (585) 394-2030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1205660388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 STATE ROUTE 14 APT B",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899207",
            "telephone_number": "315-887-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BEMIS ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241503",
            "telephone_number": "585-394-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.