Organization Active NPI

Henard Family Chiropractic, Inc.

  • Chiropractor
  • Niceville, FL
National Provider Identifier
1225282155
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HENARD FAMILY CHIROPRACTIC, INC.
Practice address
4566 E Highway 20 Ste 205
Niceville, FL 32578-8839
Phone
(850) 897-1105
Fax
(850) 897-1108
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Karen Henard Benhamron, D.C.
Title
Owner
Phone
(850) 897-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4566 E Highway 20 Ste 205
Niceville, FL 32578-8839

Mailing address

4566 E Highway 20 Ste 205
Niceville, FL 32578-8839
Phone (850) 897-1105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090423000619 FL Part B Supplier - Clinic/Group Practice 3577611946 Receives reassigned benefits from 1 practitioner
Practice locations: Niceville, FL

National Provider Directory

National Provider Directory

Locations

4566 E Highway 20
Ste 205
Niceville, FL 32578
Phone (850) 897-1105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1225282155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E HIGHWAY 20 STE 205",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788839",
            "telephone_number": "850-897-1105",
            "fax_number": "850-897-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E HIGHWAY 20 STE 205",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788839",
            "telephone_number": "850-897-1105",
            "fax_number": "850-897-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENARD FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BENHAMRON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "HENARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-897-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.