Active NPI
Timothy Robert Henning, DC DOCTOR OF CHIROPR
- Chiropractor
- E Boston, MA
National Provider Identifier
1235216136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1607
- Practice address
- 948 Bennington St
E Boston, MA 02128 - Phone
- (617) 569-7700
- Fax
- (617) 569-3173
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- 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 | 1607 | MA | Primary |
Addresses
Primary practice location
948 Bennington St
E Boston, MA 02128
Mailing address
948 Bennington St
E Boston, MA 02128
Phone (617) 569-7700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1607 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Care Centers, Inc | Past | Accepting new patients | |
| Advantage Health & Wellness Inc | Chiropractor | Past | Accepting new patients |
| Back & Neck Treatment Center Inc | Chiropractor | Past | Accepting new patients |
| Chiropractic Care Center, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235216136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 BENNINGTON ST",
"city": "E BOSTON",
"state": "MA",
"postal_code": "02128",
"telephone_number": "617-569-7700",
"fax_number": "617-569-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 BENNINGTON ST",
"city": "E BOSTON",
"state": "MA",
"postal_code": "02128",
"telephone_number": "617-569-7700",
"fax_number": "617-569-3173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "TIMOTHY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "DC DOCTOR OF CHIROPR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in E Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.