Individual provider Active NPI

Robert S Henderson, D.C

  • Chiropractor
  • Akron, OH
National Provider Identifier
1508969783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2854 Issued in OH
Practice address
3593 S Arlington Rd
Suite F
Akron, OH 44312-5271
Phone
(330) 899-1099
Fax
(330) 899-1098
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

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

Other identifiers 1

IdentifierTypeStateIssuer
000000342513OtherOHANTHEM BLUE CROSS BLUE S

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000618 OH Practitioner - Chiropractic 3678540283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

970 Killian Rd
Suite a
Akron, OH 44312-4744
Phone (330) 475-3684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2854OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gilcher Chiropractic, LLC Chiropractor CurrentSince May 25, 2019 Accepting new patients
Henderson Chiropractic LLC Chiropractor CurrentSince Aug 2, 2004 Accepting new patients
Parker Chiropractic Life Center Inc Chiropractor Past Accepting new patients
Pamer Chiropractic Health Center Inc Chiropractor Past Accepting new patients

Locations

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

2717 S Arlington Rd
Ste A
Akron, OH 44312
Phone (330) 245-1791

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508969783",
    "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": {
        "last_name": "HENDERSON",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM  BLUE CROSS BLUE S",
            "identifier": "000000342513",
            "state": "OH"
        }
    ],
    "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 Jul 8, 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.

Verify at the official NPI Registry.