Individual provider Active NPI

Craig Stephen Henzler, DC

  • Chiropractor
  • Fredericksburg, VA
National Provider Identifier
1952490203
Registry record updated May 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555857 Issued in VA
Practice address
906 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone
(540) 373-5040
Fax
(540) 373-0423
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555857 VA Primary

Addresses

Primary practice location

906 Lafayette Blvd
Fredericksburg, VA 22401-5617

Mailing address

906 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone (540) 373-5040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001619 VA Practitioner - Chiropractic 5890786529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig S Henzler DC PCGroup PAC ID 3678703436, 2 clinicians

Practice addresses (Care Compare)

906 Lafayette Blvd
Fredericksburg, VA 22401-5617
Phone (540) 373-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104555857VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craig S Henzler DC PC Chiropractor CurrentSince Feb 6, 2001 Accepting new patients

Locations

906 Lafayette Blvd
Fredericksburg, VA 22401
Phone (540) 373-5040

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368921600000",
    "number": "1952490203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015617",
            "telephone_number": "540-373-5040",
            "fax_number": "540-373-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 LAFAYETTE BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015617",
            "telephone_number": "540-373-5040",
            "fax_number": "540-373-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENZLER",
        "first_name": "CRAIG",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; 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.