Individual provider Active NPI

Chad C. Henderson, D.C.

  • Chiropractor
  • Somerset, KY
National Provider Identifier
1740224542
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4414 Issued in KY
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
85001154MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000499 KY Practitioner - Chiropractic 3779506027 Reassigns benefits to 1 organization

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
Chad C. Henderson DC, PSCGroup PAC ID 5496751240, 2 clinicians

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

LicenseStateTypeSpecialty
4414KYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Health & Professional Services, LLC Current Accepting new patients
Chad C. Henderson DC, PSC Chiropractor CurrentSince Jul 1, 2006 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.

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.

Verify at the official NPI Registry.