Organization Active NPI

Getwell Chiropractic PC

Doing business as Healthsource of Southaven

  • Chiropractor
  • Southaven, MS
National Provider Identifier
1295995728
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1129 Issued in MS
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.