Henderson Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4215 Issued in KY

Legal business name

HENDERSON CHIROPRACTIC, LLC

Practice address

434 S Green St
Henderson, KY 42420-3517

Phone

(270) 831-2790

NPI assigned

Nov 13, 2008

Last updated

Nov 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark AllenNPI 1952471617

Title

President

Phone

(270) 831-2790

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Allen

  • Chiropractor
  • Henderson, KY
  • NPI 1952471617
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1255585592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S GREEN ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203517",
            "telephone_number": "270-831-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-831-2790",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85042158",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Help at Home, LLC
• Henderson Acute Care Specialists PLLC
• Henderson Birth and Wellness, PLLC (Henderson Family Care)
• Henderson Cancer Center PSC
• Henderson Children's Dentistry, LLC
• Henderson County Health Care Corporation (Redbanks Nursing Home)
• Henderson County Schools
• Henderson First Aid Inc
• Henderson Health Facilities LP (Henderson Nursing and Rehabilitation Center)
• Henderson Lab and Xray

• Chiropractor in Henderson, KY
• Providers in Henderson, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.