Jonathan Henriquez, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12453 Issued in FL

Practice address

851 Dunlawton Ave Ste 104
Port Orange, FL 32127-4234

Phone

(386) 366-7418

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1750886206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FLORAL SPRINGS BLVD UNIT 12306",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296806",
            "telephone_number": "305-609-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 DUNLAWTON AVE STE 104",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274234",
            "telephone_number": "386-366-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janell Hendren
• Elizabeth Ashley Hendrix, H.I.S.
• Marianne Hendrix
• Elizabeth Henley
• Elizabeth Jane Hennighan, DC
• Michelle Hermann
• Enrique Hernandez
• Sharon Marie Herr, RD
• Sheila Herring
• I Warren Hersch, D.M.D.

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.