Ward James Henry III, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC013550 Issued in CA

Practice address

3551 Florista St
Suite 1a
Los Alamitos, CA 90720-2474

Phone

(562) 596-9677

Fax

(562) 795-6630

NPI assigned

Mar 15, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Shahba Body Revive Chiropractic Corporation

  dba Alamitos back pain center

  • Chiropractor
  • Los Alamitos, CA
  • NPI 1538889373
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1831223445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST",
            "address_2": "SUITE 1A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202474",
            "telephone_number": "562-596-9677",
            "fax_number": "562-795-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FLORISTA ST",
            "address_2": "SUITE 1A",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202474",
            "telephone_number": "562-596-9677",
            "fax_number": "562-795-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "WARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC013550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL PROVIDER",
            "identifier": "271985100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALIFIED MEDICAL EVALUAT",
            "identifier": "946952",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Mahoney MD Inc
• Nancy Helms, PAC
• Kathryn Elizabeth Henning, M.S., R.D.
• Kirsten Henriquez
• Mellissa Henry, FNP
• Rhisie Hentges, LMFT
• Michael Hermansen, PA-C
• Kenya Hernandez
• Yasmin Herring, MD
• Lisa Hertz, MD

• Sports Physician Chiropractor in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.