Active NPI
Darron Leon Henderson, DC
- Chiropractor
- Warsaw, MO
National Provider Identifier
1477564037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000144137
- Practice address
- 1630 E. Main
Warsaw, MO 65355 - Phone
- (660) 438-5224
- Fax
- (660) 438-9791
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2000144137 | MO | Primary |
Addresses
Primary practice location
1630 E. Main
Warsaw, MO 65355
Mailing address
PO Box 1785
Warsaw, MO 65355-1785
Phone (660) 438-5224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090202000293 | MO | Practitioner - Chiropractic | 0941364251 | Practice locations: Warsaw, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1630 E Main St
Warsaw, MO 65355-1785
1630 E Main St
Warsaw, MO 65355-3344
Hospital & facility affiliations
- Golden Valley Memorial Hospital
- Bothwell Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Chiropractic Health & Wellness, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Clinton, MO
- NPI 1295770592
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477564037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1785",
"city": "WARSAW",
"state": "MO",
"postal_code": "653551785",
"telephone_number": "660-438-5224",
"fax_number": "660-438-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 E. MAIN",
"city": "WARSAW",
"state": "MO",
"postal_code": "65355",
"telephone_number": "660-438-5224",
"fax_number": "660-438-9791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "DARRON",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2000144137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.