Individual provider Active NPI

Henning Handberg, D.C.

  • Chiropractor
  • Peoria, AZ
National Provider Identifier
1992732978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5118 Issued in AZ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4759COMDProfessional Counselor
5118AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Chiropractic Life Center, LLC Chiropractor PastSince Oct 15, 2017 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.

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.

Verify at the official NPI Registry.