Dustin Henry, DC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60663462 Issued in WA

Practice address

16508 SE 24TH St Ste 203
Vancouver, WA 98683-4321

Phone

(360) 818-4626

Fax

(360) 208-0293

NPI assigned

Aug 15, 2016

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Victory Spine and Sport PLLC

  • Clinic/Center
  • Vancouver, WA
  • NPI 1780285510
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1891240248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16508 SE 24TH ST STE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834321",
            "telephone_number": "360-818-4626",
            "fax_number": "360-208-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16508 SE 24TH ST STE 203",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834321",
            "telephone_number": "360-818-4626",
            "fax_number": "360-208-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DUSTIN",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60663462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Robert Henrikson, DPT
• Andy Henriquez
• Henry N Weber PHD and Judy W Weber PHD PLLC
• Alyssa Henry
• Corinne Henry, RN
• Paula Henry, LMP
• Rachell L Henry
• Sophia Henry
• Kathleen Jo Hensch-Fleming, C.N.M., A.R.N.P.
• Amanda Lynn Henschel, LMP

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.