Active NPI
Henning Handberg, D.C.
- Chiropractor
- Peoria, AZ
National Provider Identifier
1992732978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5118
- Practice address
- 15182 N. 75TH Ave. Suite 160
Peoria, AZ 85381-4722 - Phone
- (623) 334-5010
- Fax
- (623) 334-0742
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5118 | AZ | Primary |
Addresses
Primary practice location
15182 N. 75TH Ave. Suite 160
Peoria, AZ 85381-4722
Mailing address
15182 N. 75TH Ave. Suite 160
Peoria, AZ 85381-4722
Phone (623) 334-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4759 | CO | MD | Professional Counselor |
| 5118 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Chiropractic Life Center, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Glendale, AZ
- NPI 1538417191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992732978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15182 N. 75TH AVE. SUITE 160",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814722",
"telephone_number": "623-334-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15182 N. 75TH AVE. SUITE 160",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814722",
"telephone_number": "623-334-5010",
"fax_number": "623-334-0742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDBERG",
"first_name": "HENNING",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "5118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.