Organization Active NPI

Henning Chiropractic LLC

Doing business as Family Practice of Chiropractic

  • Chiropractor
  • Chapin, SC
National Provider Identifier
1861208357
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HENNING CHIROPRACTIC LLC
Doing business as
Family Practice of Chiropractic
Practice address
203 Amicks Ferry Rd Ste 800
Chapin, SC 29036-8695
Phone
(803) 932-9399
Fax
(803) 948-9322
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Jackson Timothy Henning, DCNPI 1932722568
Title
Owner
Phone
(803) 932-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

203 Amicks Ferry Rd Ste 800
Chapin, SC 29036-8695

Mailing address

203 Amicks Ferry Rd Ste 800
Chapin, SC 29036-8695
Phone (803) 932-9399

Other practice location 1

101 Grace St
Prosperity, SC 29127-6614
Phone (803) 227-4891

Other names 1

  • Family Practice of Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204003404 SC Part B Supplier - Clinic/Group Practice 3375073471 Receives reassigned benefits from 1 practitioner
Practice locations: Prosperity, SC; Chapin, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1861208357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AMICKS FERRY RD STE 800",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368695",
            "telephone_number": "803-932-9399",
            "fax_number": "803-948-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AMICKS FERRY RD STE 800",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368695",
            "telephone_number": "803-932-9399",
            "fax_number": "803-948-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 GRACE ST",
            "address_purpose": "LOCATION",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291276614",
            "country_code": "US",
            "telephone_number": "803-227-4891",
            "fax_number": "803-948-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HENNING CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-932-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.