Timothy D Henderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8356 Issued in TX

Practice address

1019 E California St
Gainesville, TX 76240-4203

Phone

(940) 902-3979

Fax

(214) 292-9650

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1679563969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1163",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762411163",
            "telephone_number": "940-902-3979",
            "fax_number": "214-292-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 E CALIFORNIA ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404203",
            "telephone_number": "940-902-3979",
            "fax_number": "214-292-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145707902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynsey Hartman
• William Colt Hazel, D.C.
• Health Well TX LLC
• Hearing Aid Express Inc (Hearing Aid Express)
• Sandra Claudette Henderson, COTA
• Tonya Lynn Henderson, LMT
• Eugene A Herzog, DO
• Lana Rose Hess, OD
• Higbee Dialysis LLC (Dialysis Cottage)
• Isis Faith Hilton, PTA

• Chiropractor in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.