Active NPI
Steven Mark Henderson, D.C.
- Chiropractor
- Anchorage, AK
National Provider Identifier
1811049398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHI 223
- Practice address
- 213 E Fireweed LN
Anchorage, AK 99503-2025 - Phone
- (907) 274-2225
- Fax
- (907) 274-2220
- NPI assigned
- Jan 17, 2007
- Last updated
- Sep 6, 2011
- 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 | CHI 223 | AK | Primary |
Addresses
Primary practice location
213 E Fireweed LN
Anchorage, AK 99503-2025
Mailing address
3520 Wentworth St
Anchorage, AK 99508-4358
Phone (907) 276-3720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH1223 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
213 E Fireweed LN
Anchorage, AK 99503-2045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHI 223 | AK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Chiropractic Clinic Inc. | Chiropractor | Current | Accepting new patients |
Locations
213 E Fireweed Ln
Anchorage, AK 99503
Phone (907) 274-2225
Organizations & group practices 1
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
- Anchorage, AK
- NPI 1356488019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1811049398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 WENTWORTH ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084358",
"telephone_number": "907-276-3720",
"fax_number": "907-274-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 E FIREWEED LN",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032025",
"telephone_number": "907-274-2225",
"fax_number": "907-274-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "STEVEN",
"middle_name": "MARK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "CHI 223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH1223",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.