Organization Active NPI

Henderson Chiropractic LLC

  • Chiropractor
  • Akron, OH
National Provider Identifier
1447441746
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2854 Issued in OH
Legal business name
HENDERSON CHIROPRACTIC LLC
Practice address
3593 S Arlington Rd
Suite F
Akron, OH 44312-5271
Phone
(330) 899-1099
Fax
(330) 899-1098
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Robert S Henderson, D,CNPI 1508969783
Title
Officer
Phone
(330) 899-1099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2854 OH Primary

Addresses

Primary practice location

3593 S Arlington Rd
Suite F
Akron, OH 44312-5271

Mailing address

3593 S Arlington Rd
Suite F
Akron, OH 44312-5271
Phone (330) 899-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000159 OH Part B Supplier - Clinic/Group Practice 5597732198 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

Locations

970 Killian Rd
Ste A
Akron, OH 44312
Phone (330) 245-1450

2656 S Arlington Rd
Ste E
Coventry Township, OH 44319
Phone (330) 245-1450

209 Portage Trail Ext W
Ste B
Cuyahoga Falls, OH 44223
Phone (330) 923-3668

3593 S Arlington Rd
Ste F
Green, OH 44312
Phone (330) 899-1099

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1447441746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "address_2": "SUITE F",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-1099",
            "fax_number": "330-899-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "address_2": "SUITE F",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-1099",
            "fax_number": "330-899-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "330-899-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D,C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.