Individual provider Active NPI

Stanley Peter Henderson, D.C.

  • Chiropractor
  • Newhall, CA
National Provider Identifier
1811924905
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13794 Issued in CA
Practice address
25050 Peachland Ave
Suite 155
Newhall, CA 91321-2523
Phone
(661) 254-2090
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13794 CA Primary

Addresses

Primary practice location

25050 Peachland Ave
Suite 155
Newhall, CA 91321-2523

Mailing address

25050 Peachland Ave Ste 155
Newhall, CA 91321-5735
Phone (661) 254-2090

Other identifiers 2

IdentifierTypeStateIssuer
WDC13794AOtherCAMEDICARE PTAN
DC013794OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000515 CA Practitioner - Chiropractic 1355421389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25050 Peachland Ave
Suite 155
Newhall, CA 91321-5735
Phone (661) 254-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC13794CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley P Henderson D C a Professional Corporation Chiropractor CurrentSince May 1, 1987 Accepting new patients

Locations

25050 Peachland Ave
Ste 155
Newhall, CA 91321
Phone (661) 254-2090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1811924905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE STE 155",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215735",
            "telephone_number": "661-254-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE",
            "address_2": "SUITE 155",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212523",
            "telephone_number": "661-254-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STANLEY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WDC13794A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC013794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.