Organization Active NPI

Henderson Chiropractic Inc

  • Chiropractor
  • Selma, AL
National Provider Identifier
1952814055
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1576 Issued in AL
Legal business name
HENDERSON CHIROPRACTIC INC
Practice address
611 Broad St
Selma, AL 36701-4505
Phone
(334) 872-4470
Fax
(334) 872-4471
NPI assigned
Nov 10, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Allen R Henderson, DCNPI 1447335153
Title
Ceo
Phone
(334) 872-4470

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 1576 AL Primary

Addresses

Primary practice location

611 Broad St
Selma, AL 36701-4505

Mailing address

611 Broad St
Selma, AL 36701-4505
Phone (334) 872-4470

Other identifiers 1

IdentifierTypeStateIssuer
7904OtherBLUE CROSS

National Provider Directory

National Provider Directory

Locations

611 Broad St
Selma, AL 36701
Phone (334) 872-4470

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": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1952814055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014505",
            "telephone_number": "334-872-4470",
            "fax_number": "334-872-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014505",
            "telephone_number": "334-872-4470",
            "fax_number": "334-872-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-872-4470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.