Active NPI
Richard Alva Henry, D.C.
- Nutrition Chiropractor
- Lauderhill, FL
National Provider Identifier
1285741744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CH 8692
- Practice address
- 4492 N University Dr
Lauderhill, FL 33351-4513 - Phone
- (954) 578-4443
- Fax
- (954) 578-4868
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | CH 8692 | FL | Primary |
Addresses
Primary practice location
4492 N University Dr
Lauderhill, FL 33351-4513
Mailing address
4492 N. University Drive
Lauderhill, FL 33351
Phone (954) 578-4443
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381791100 | Medicaid | FL | |
| 89496 | Other | FL | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 8692 | FL | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Now Holdings, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Lauderhill, FL
- NPI 1194365841
-
- Clinic/Center
- Miami, FL
- NPI 1598063521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1285741744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4492 N. UNIVERSITY DRIVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "33351",
"telephone_number": "954-578-4443",
"fax_number": "954-578-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4492 N UNIVERSITY DR",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333514513",
"telephone_number": "954-578-4443",
"fax_number": "954-578-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "RICHARD",
"middle_name": "ALVA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "FL",
"license": "CH 8692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381791100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "89496",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.