Active NPI
Cory E. Henderson, D.C.
- Chiropractor
- Las Vegas, NV
National Provider Identifier
1326200486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01457
- Practice address
- 3662 E Sunset Rd
Suite #110
Las Vegas, NV 89120-7240 - Phone
- (817) 624-7222
- Fax
- (817) 624-7233
- NPI assigned
- Jun 30, 2008
- 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 | B01457 | NV | Primary |
Addresses
Primary practice location
3662 E Sunset Rd
Suite #110
Las Vegas, NV 89120-7240
Mailing address
PO Box 36853
Las Vegas, NV 89133-6853
Phone (702) 434-2800
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 |
|---|---|---|---|
| 10910 | TX | MD | Addiction (Substance Use Disorder) Psychologist |
| B01457 | NV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1326200486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36853",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891336853",
"telephone_number": "702-434-2800",
"fax_number": "702-451-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3662 E SUNSET RD",
"address_2": "SUITE #110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891207240",
"telephone_number": "817-624-7222",
"fax_number": "817-624-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CORY",
"middle_name": "E.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.