Phillip Augustine Henady, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002665A Issued in IN

Practice address

920 W Broadway St
Monticello, IN 47960-1814

Phone

(574) 583-5811

NPI assigned

Jul 24, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Family Chiropractic LLC

  • Chiropractor
  • Brownsburg, IN
  • NPI 1821470816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1609122993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N GREEN ST",
            "address_2": "STE C",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121281",
            "telephone_number": "317-456-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479601814",
            "telephone_number": "574-583-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENADY",
        "first_name": "PHILLIP",
        "middle_name": "AUGUSTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-24",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2012023039",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002665A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Hamrick
• Ryan Hancock, M.D.
• Pamela Hanway, MSOTR
• Haupert Consulting LLC
• Debra Eloise Haworth, P.T.
• Frederic Alan Henney, MD
• Natalie Lynn Hodgen, PTA
• Suzanne F Holmes, LCSW
• Hook-Superx LLC (CVS Pharmacy #06535)
• Hoosier E M S Inc.

• Chiropractor in Monticello, IN
• Providers in Monticello, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.