Allen Randolph Henderson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1576 Issued in AL

Practice address

611 Broad St
Selma, AL 36701-4505

Phone

(334) 872-4470

Fax

(334) 872-4471

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1994

Medicare assignment

May accept Medicare assignment

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.

• Henderson Chiropractic Inc

  • Chiropractor
  • Selma, AL
  • NPI 1952814055
  NPD Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1447335153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014505",
            "telephone_number": "334-872-4470",
            "fax_number": "334-872-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014505",
            "telephone_number": "334-872-4470",
            "fax_number": "334-872-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ALLEN",
        "middle_name": "RANDOLPH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destinee R Hawkins, LMSW
• Jan Vann Hayden, MA, LPC
• Healthcare Home Services LLC
• Healthmark Home Medical Equipment
• Henderson Chiropractic Inc
• Erica Henderson
• John David Henderson, D.M.D.
• Pelham H Henry Jr., DMD
• Clayton Henson, DPT
• Letevia Herlong, FNP

• Chiropractor in Selma, AL
• Providers in Selma, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.