Jason D Henry, DC, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

980 Issued in SD

Practice address

1727 S Cleveland Ave
Sioux Falls, SD 57103-3245

Phone

(605) 334-6656

Fax

(605) 333-4875

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chirosport PCGroup PAC ID 6406748110, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chirosport PC

  • Chiropractor
  • Brandon, SD
  • NPI 1861511479
  Medicare reassignment Care Compare group NPD
• Heartland Chiropractic and Sports Rehabilitation Center P.C.

  • Sports Physician Chiropractor
  • Sioux Falls, SD
  • NPI 1124113220
  NPD (past) Authorized official
• Chirosport Brandon, PC

  • Clinic/Center
  • Brandon, SD
  • NPI 1942048558
  NPD (past)
• Chirosport Hartford, PC

  • Chiropractor
  • Hartford, SD
  • NPI 1033626114
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1376529388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S CLEVELAND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033245",
            "telephone_number": "605-334-6656",
            "fax_number": "605-333-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 S CLEVELAND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033245",
            "telephone_number": "605-334-6656",
            "fax_number": "605-333-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "980",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SD",
            "license": "980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "20632",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "C980",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7594362",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLANS",
            "identifier": "6437",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "1594359",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4994635",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa M Henrickson, LPC MH
• Brent Jason Henriksen, M.D., D.D.S.
• Cody Lonnie Henriksen, DDS
• Anasara Henry, DNP, AGPCNP-BC
• Emily Henry, ED.S
• Scott D Henry, M.D.
• Stacy Henry, PA-C
• Mikala Henzlik, PHARMD, RPH, MS, RD
• Karle Hepner, RN
• Cheryl L Hepp, CRNA

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.