Active NPI
Elizabeth Jane Hennighan, DC
- Chiropractor
- Port Orange, FL
National Provider Identifier
1386717205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7773
- Practice address
- 1398 Dunlawton Ave
D-4
Port Orange, FL 32127-8951 - Phone
- (386) 760-6150
- Fax
- (386) 788-1998
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- 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 | CH7773 | FL | Primary |
Addresses
Primary practice location
1398 Dunlawton Ave
D-4
Port Orange, FL 32127-8951
Mailing address
P. O. Box 290406
Port Orange, FL 32129-0406
Phone (386) 760-6150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050125000412 | FL | Practitioner - Chiropractic | 8820048127 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386717205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 290406",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321290406",
"telephone_number": "386-760-6150",
"fax_number": "386-788-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 DUNLAWTON AVE",
"address_2": "D-4",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321278951",
"telephone_number": "386-760-6150",
"fax_number": "386-788-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNIGHAN",
"first_name": "ELIZABETH",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.