Rodney D. Henson

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RODNEY D. HENSON

Doing business as

Henson Orthotic & Prosthetic Ent

Practice address

2540 Pacific Ave
Suite 2B
Stockton, CA 95204-4400

Phone

(209) 944-9990

Fax

(209) 944-9992

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Douglas Henson, CPO 02313

Title

Owner

Phone

(209) 944-9990

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henson Orthotic & Prosthetic Ent Doing business as

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1932195195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 PACIFIC AVE",
            "address_2": "SUITE 2B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952044400",
            "telephone_number": "209-944-9990",
            "fax_number": "209-944-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 PACIFIC AVE",
            "address_2": "SUITE 2B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952044400",
            "telephone_number": "209-944-9990",
            "fax_number": "209-944-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY D. HENSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-944-9990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO 02313"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XC0023130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henson Orthotic & Prosthetic Ent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David N. Roderick, PHARMD.
• David Clarence Rodgers, FNP
• Jalan Rodgers
• Katelyn Julene Rodgers
• Tabitha Rodgers, CLINICAL PSYCHOLOGY
• Janice Lee Rodney, PSYCH TECH
• Lindsay Giselle Rodriguez Alvarado
• Maria Rodriguez Garibay
• Emma Rodriguez Martinez
• Ximena Rodriguez Ponce

• Prosthetic/Orthotic Supplier in Stockton, CA
• Providers in Stockton, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.