Active NPI
Getwell Chiropractic PC
Doing business as Healthsource of Southaven
- Chiropractor
- Southaven, MS
National Provider Identifier
1295995728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1129
- Legal business name
- GETWELL CHIROPRACTIC PC
- Doing business as
- Healthsource of Southaven
- Practice address
- 5740 Getwell Rd
Building 4a
Southaven, MS 38672-7326 - Phone
- (662) 671-5255
- NPI assigned
- Jun 9, 2008
- Last updated
- Jun 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent Lamonte Henderson, D.C.
- Title
- Owner
- Phone
- (662) 671-5255
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1129 | MS | Primary |
Addresses
Primary practice location
5740 Getwell Rd
Building 4a
Southaven, MS 38672-7326
Mailing address
4645 Golden West CV
Southaven, MS 38671-5048
Phone (662) 671-5255
Other names 1
- Healthsource of Southaven
National Provider Directory
National Provider DirectoryLocations
5740 Getwell Rd
Bldg 4A
Southaven, MS 38672
Phone (662) 671-5255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1295995728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 GOLDEN WEST CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715048",
"telephone_number": "662-671-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 GETWELL RD",
"address_2": "BUILDING 4A",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386727326",
"telephone_number": "662-671-5255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GETWELL CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "LAMONTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-671-5255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Healthsource of Southaven",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.