Individual provider Active NPI

Joshua L Henderson, DC

  • Chiropractor
  • Benson, MN
National Provider Identifier
1518628601
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6931 Issued in MN
Practice address
220 13TH St S
Benson, MN 56215-1858
Phone
(320) 314-2368
NPI assigned
Jan 1, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6931 MN Primary

Addresses

Primary practice location

220 13TH St S
Benson, MN 56215-1858

Mailing address

220 13TH St S
Benson, MN 56215-1858
Phone (320) 314-2368

Other names 1

  • Joshua L Henderson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221001371 MN Practitioner - Chiropractic 8325432123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ambient Chiropractic PAGroup PAC ID 2163434655, 4 clinicians

Practice addresses (Care Compare)

220 13TH St N
Benson, MN 56215-1223
Phone (320) 314-2368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Chiropractic, P. a. Chiropractor CurrentSince Oct 20, 2024 Accepting new patients
Ambient Chiropractic PA Chiropractor CurrentSince Feb 1, 2022 Accepting new patients

Locations

220 13TH St N
Benson, MN 56215
Phone (320) 314-2368

220 13th St S
Benson, MN 56215
Phone (320) 269-5000

2302 E Highway 7
Montevideo, MN 56265
Phone (320) 269-3131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1518628601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 13TH ST S",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151858",
            "telephone_number": "320-314-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 13TH ST S",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "562151858",
            "telephone_number": "320-314-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JOSHUA",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "HENDERSON",
            "middle_name": "L",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Benson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.