Organization Active NPI

Henderson Chiropractic Clinic, PLLC

  • Chiropractor
  • Mobridge, SD
National Provider Identifier
1497472971
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HENDERSON CHIROPRACTIC CLINIC, PLLC
Doing business as
Henderson Chiropractic Clinic, PLLC
Practice address
404 W Grand Xing
Mobridge, SD 57601-2046
Phone
(605) 845-5454
Fax
(605) 845-5808
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Rose Henderson, D.C.NPI 1083883383
Title
Doctor
Phone
(160) 584-5545

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

404 W Grand Xing
Mobridge, SD 57601-2046

Mailing address

404 W Grand Xing
Mobridge, SD 57601-2046
Phone (605) 845-5454

Other names 1

  • Henderson Chiropractic Clinic, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

404 W Grand Xing
Mobridge, SD 57601
Phone (605) 845-5454

Practitioners & affiliated clinicians

Practitioners 2

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": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1497472971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-5454",
            "fax_number": "605-845-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012046",
            "telephone_number": "605-845-5454",
            "fax_number": "605-845-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "160-584-5545",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Chiropractic Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobridge, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.