Active NPI
Chad C. Henderson, D.C.
- Chiropractor
- Somerset, KY
National Provider Identifier
1740224542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4414
- Practice address
- 1056 S Highway 27
Somerset, KY 42501-2893 - Phone
- (606) 679-6385
- Fax
- (606) 679-5556
- NPI assigned
- Jun 15, 2006
- Last updated
- Sep 12, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4414 | KY | Primary |
Addresses
Primary practice location
1056 S Highway 27
Somerset, KY 42501-2893
Mailing address
1056 S Highway 27
Somerset, KY 42501-2893
Phone (606) 679-6385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85001154 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1056 S Hwy 27
Somerset, KY 42501-2893
Phone (606) 679-6385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4414 | KY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health & Professional Services, LLC | Current | Accepting new patients | |
| Chad C. Henderson DC, PSC | Chiropractor | Current | Accepting new patients |
Locations
1056 S Highway 27
Somerset, KY 42501
Phone (606) 679-6385
1056 S Highway 27
Ste 5
Somerset, KY 42501
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Somerset, KY
- NPI 1306875554
-
- Nurse Practitioner
- Somerset, KY
- NPI 1184391294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1740224542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 S HIGHWAY 27",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012893",
"telephone_number": "606-679-6385",
"fax_number": "606-679-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 S HIGHWAY 27",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012893",
"telephone_number": "606-679-6385",
"fax_number": "606-679-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CHAD",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85001154",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.