Organization Active NPI

Stanley P Henderson D C a Professional Corporation

  • Chiropractor
  • Newhall, CA
National Provider Identifier
1659301372
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13794 Issued in CA
Legal business name
STANLEY P HENDERSON D C A PROFESSIONAL CORPORATION
Practice address
25050 Peachland Ave
Suite 155
Newhall, CA 91321-2523
Phone
(661) 254-2090
Fax
(661) 254-5665
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Dr. Stanley P. Henderson, D.C.NPI 1811924905
Title
Owner
Phone
(661) 254-2090

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC13794 CA Primary

Addresses

Primary practice location

25050 Peachland Ave
Suite 155
Newhall, CA 91321-2523

Mailing address

25050 Peachland Ave Ste 155
Newhall, CA 91321-5735
Phone (661) 254-2090

Other identifiers 2

IdentifierTypeStateIssuer
DC013794OtherCABLUE SHIELD ID#
W21449OtherCAMEDICARE PTAN

Other names 1

  • White Light Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000518 CA Part B Supplier - Clinic/Group Practice 5890875827 Receives reassigned benefits from 1 practitioner
Practice locations: Newhall, CA

National Provider Directory

National Provider Directory

Locations

25050 Peachland Ave
Ste 155
Newhall, CA 91321
Phone (661) 254-2090

24519 Spruce St
Newhall, CA 91321
Phone (661) 254-2090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1659301372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE STE 155",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215735",
            "telephone_number": "661-254-2090",
            "fax_number": "661-254-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE",
            "address_2": "SUITE 155",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212523",
            "telephone_number": "661-254-2090",
            "fax_number": "661-254-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY P HENDERSON D C A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-254-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID#",
            "identifier": "DC013794",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21449",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Light Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.