Individual provider Active NPI

Fernando Agustin Henin, DC

  • Chiropractor
  • Sunrise, FL
National Provider Identifier
1841862091
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13632 Issued in FL
Practice address
1330 SW 160TH Ave
Sunrise, FL 33326-1907
Phone
(954) 384-3275
Fax
(954) 446-6590
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13632 FL Primary

Addresses

Primary practice location

1330 SW 160TH Ave
Sunrise, FL 33326-1907

Mailing address

1330 SW 160TH Ave
Sunrise, FL 33326-1907
Phone (954) 384-3275

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Live Better Chiropractic Medicine LLC Chiropractor Current Accepting new patients

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1841862091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SW 160TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261907",
            "telephone_number": "954-384-3275",
            "fax_number": "954-446-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SW 160TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261907",
            "telephone_number": "954-384-3275",
            "fax_number": "954-446-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENIN",
        "first_name": "FERNANDO",
        "middle_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.