Henson Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2014032165 Issued in MO

Legal business name

HENSON FAMILY CHIROPRACTIC LLC

Practice address

10071 Crescent Rd
Potosi, MO 63664-2040

Phone

(573) 438-2200

Fax

(573) 436-1711

NPI assigned

Nov 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee Henson, D.C.NPI 1861894057

Title

Owner/ Chiropractor

Phone

(573) 438-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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.

• Michael Lee Henson, D.C.

  • Chiropractor
  • Potosi, MO
  • NPI 1861894057
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1346646304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 CRESCENT RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636642040",
            "telephone_number": "573-438-2200",
            "fax_number": "573-436-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 CRESCENT RD",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636642040",
            "telephone_number": "573-438-2200",
            "fax_number": "573-436-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENSON FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "573-438-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014032165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Harrell
• Nedra G. Harrington, NP
• Matthew Eugene Hart, D.O.
• James Hawk, MD
• Hearing Aid Service LLC
• Michael Lee Henson, D.C.
• Kaley Nicole Holbert, BSW, MAC
• Jessica Lynn Holland, FNP-C
• Joseph Bernard Huck, D.C.
• Robert Daniel Huck, D.C.

• All providers in Potosi, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.