Active NPI
Steven Allan Henderson, D.C.
- Chiropractor
- Pineville, NC
National Provider Identifier
1649562927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4148
- Practice address
- 103 Dover St.
Pineville, NC 28134 - Phone
- (704) 889-0160
- Fax
- (704) 889-0159
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4148 | NC | Primary |
| Chiropractor | 111N00000X | 3619 | SC |
Addresses
Primary practice location
103 Dover St.
Pineville, NC 28134
Mailing address
103 Dover St.
Pineville, NC 28134
Phone (704) 889-0160
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 |
|---|---|---|---|
| 3619 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1649562927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 DOVER ST.",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "28134",
"telephone_number": "704-889-0160",
"fax_number": "704-889-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 DOVER ST.",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "28134",
"telephone_number": "704-889-0160",
"fax_number": "704-889-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "STEVEN",
"middle_name": "ALLAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4148",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3619",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.