Active NPI
James Alex Henderson Sr., HIS
- Hearing Instrument Specialist
- Chester, VA
National Provider Identifier
1821489295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101001271
- Practice address
- 3610 Festival Park PLZ
Suite a
Chester, VA 23831-4422 - Phone
- (804) 796-3210
- Fax
- (804) 796-3210
- NPI assigned
- Feb 6, 2015
- Last updated
- Mar 23, 2021
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101001271 | VA | Primary |
Addresses
Primary practice location
3610 Festival Park PLZ
Suite a
Chester, VA 23831-4422
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101001271 | VA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| Connect Hearing, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
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.
-
- Hearing Aid Equipment
- Chester, VA
- NPI 1912320268
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1821489295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3610 FESTIVAL PARK PLZ",
"address_2": "SUITE A",
"city": "CHESTER",
"state": "VA",
"postal_code": "238314422",
"telephone_number": "804-796-3210",
"fax_number": "804-796-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JAMES",
"middle_name": "ALEX",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-06",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101001271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chester, VA
- Heaven Sent by Home Town Health Care, LTD (Heaven Sent by Home Town Health Care)
- Steven Hedges, DMD
- Helping Hands Say Amen, Corp (ComForCare Home Care)
- Helping Hands Supportive Services, LLC
- Helping Our Community Rva
- Rebecca Leah Henderson, LMFT
- Hans Hendrick, OTR/L
- Her Caring Heart, LLC
- Mauricio Jose Herrera, DDS
- Shyanna J Hicks, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.