NPIMap

Organization Active NPI

Dr Howard R Henning SC

  • Chiropractor
  • Delavan, WI
National Provider Identifier
1780810952
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1397-012 Issued in WI
Legal business name
DR HOWARD R HENNING SC
Practice address
1221 Phoenix St
Delavan, WI 53115-2340
Phone
(262) 728-8208
Fax
(262) 728-9818
NPI assigned
Jun 2, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Howard R Henning, D.C.NPI 1356368443
Title
Owner
Phone
(262) 728-8208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4069-012 WI
Chiropractor 111N00000X 1397-012 WI Primary

Addresses

Primary practice location

1221 Phoenix St
Delavan, WI 53115-2340

Mailing address

1221 Phoenix St
Delavan, WI 53115
Phone (262) 728-8208

Other identifiers 3

IdentifierTypeStateIssuer
38750300MedicaidWI
1669595054OtherWINPI
1356368443OtherWINPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1780810952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PHOENIX ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "53115",
            "telephone_number": "262-728-8208",
            "fax_number": "262-728-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PHOENIX ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531152340",
            "telephone_number": "262-728-8208",
            "fax_number": "262-728-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HOWARD R HENNING SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-728-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4069-012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1397-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38750300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669595054",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356368443",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delavan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.