Active NPI
Donald Taylor Henderson, DC
- Sports Physician Chiropractor
- Brentwood, TN
National Provider Identifier
1497820955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC355
- Practice address
- 785 Old Hickory Blvd
Brentwood, TN 37027-4512 - Phone
- (615) 371-1091
- Fax
- (615) 373-0879
- NPI assigned
- Nov 21, 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC355 | TN | Primary |
Addresses
Primary practice location
785 Old Hickory Blvd
Brentwood, TN 37027-4512
Mailing address
PO Box 1487
Brentwood, TN 37024-1487
Phone (615) 373-0276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC355 | TN | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497820955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1487",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370241487",
"telephone_number": "615-373-0276",
"fax_number": "615-373-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 OLD HICKORY BLVD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274512",
"telephone_number": "615-371-1091",
"fax_number": "615-373-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "DONALD",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TN",
"license": "DC355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.