Individual provider Active NPI

Michael James Hennings, D.C.

  • Neurology Chiropractor
  • Palm City, FL
National Provider Identifier
1679878656
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH10214 Issued in FL
Practice address
3662 SW 30TH Ave
Suite 2
Palm City, FL 34990-3720
Phone
(772) 220-5880
Fax
(772) 220-5888
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH10214 FL Primary

Addresses

Primary practice location

3662 SW 30TH Ave
Suite 2
Palm City, FL 34990-3720

Mailing address

3662 SW 30TH Ave
Suite 2
Palm City, FL 34990-3720
Phone (772) 220-5880

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Health Specialists, LLC CurrentSince Jul 18, 2014 Accepting new patients
Simpson Chiropractic Pain and Wellness Center PA Past Accepting new patients
Simpson Chiropractic Pain and Wellness Center PA Past Accepting new patients

Locations

3662 SW 30th Ave
Ste 2
Palm City, FL 34990
Phone (772) 220-5880

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1679878656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 SW 30TH AVE",
            "address_2": "SUITE 2",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903720",
            "telephone_number": "772-220-5880",
            "fax_number": "772-220-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 SW 30TH AVE",
            "address_2": "SUITE 2",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349903720",
            "telephone_number": "772-220-5880",
            "fax_number": "772-220-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH10214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.