Active NPI
Daniel Grant Henderson
- Radiologic Technologist
- Lexington, KY
National Provider Identifier
1689508350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 1100120
- Practice address
- 1101 Veterans Dr
Lexington, KY 40502-2235 - Phone
- (185) 923-3451
- NPI assigned
- Jun 9, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | 1100120 | KY | |
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 1100120 | KY | |
| Radiologic Technologist | 247100000X | 1100120 | KY | Primary |
Addresses
Primary practice location
1101 Veterans Dr
Lexington, KY 40502-2235
Mailing address
525 Highway 36
Frenchburg, KY 40322-8121
Phone (859) 697-4598
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1689508350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 HIGHWAY 36",
"city": "FRENCHBURG",
"state": "KY",
"postal_code": "403228121",
"telephone_number": "859-697-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 VETERANS DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022235",
"telephone_number": "185-923-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "DANIEL",
"middle_name": "GRANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3401X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Computed Tomography",
"state": "KY",
"license": "1100120",
"primary": false
},
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "KY",
"license": "1100120",
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "KY",
"license": "1100120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.