Organization Active NPI

Craig S Henzler DC PC

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1598187122
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
104555857 Issued in VA
Legal business name
CRAIG S HENZLER DC PC
Practice address
906 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone
(540) 373-5040
Fax
(540) 373-0423
NPI assigned
Jan 16, 2014
Last updated
Jan 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Craig Stephen Henzler, D.C.NPI 1952490203
Title
Owner
Phone
(540) 373-5040

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
Chiropractor 111N00000X 104555857 VA Primary

Addresses

Primary practice location

906 Lafayette Blvd
Fredericksburg, VA 22401-5617

Mailing address

906 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone (540) 373-5040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140224001274 VA Part B Supplier - Clinic/Group Practice 3678703436 Receives reassigned benefits from 2 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

906 Lafayette Blvd
Fredericksburg, VA 22401
Phone (540) 373-5040

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": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1598187122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015617",
            "telephone_number": "540-373-5040",
            "fax_number": "540-373-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015617",
            "telephone_number": "540-373-5040",
            "fax_number": "540-373-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG S HENZLER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "HENZLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-373-5040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "104555857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.