DR. TIMOTHY JAMES HENDERSON (NPI# 1174571780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174571780 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY JAMES HENDERSON |
| Credential | DC |
| Practice Address |
610 East Blvd Rapid City SD 57701-2902 |
| Practice Telephone | 6053423908 |
| Practice Fax Number | 6053420250 |
| Mailing Telephone | 6053423908 |
| Mailing Fax Number | 6053420250 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1055 | SD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7602530 | 05 | |
| SD | WELLMARK | 4994541 | 01 |
| SD | MIDLANDS CHOICE | 249390 | 01 |
| SD | AVERA | 13959 | 01 |
| SD | SIOUX VALLEY HEALTH PLAN | 48322 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005307 | Timothy J Henderson | Orthopaedic Surgery | 1055 Hamburg Tpke Ste 2, Wayne, NJ 07470 | 2006-04-26 |
| 1679563969 | Timothy D Henderson | Chiropractor | 40 Cr 123, Gainesville, TX 76240 | 2005-10-27 |
| 1033600168 | Timothy Koplik Henderson | Emergency Medicine | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-05-24 |
| 1659718112 | Timothy Andrew Henderson | Pharmacist | 10200 Seminole Blvd, Seminole, FL 33778-4201 | 2013-05-23 |
| Street Address |
610 EAST BLVD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528031283 | Roy L Trotter | Chiropractor | 610 East Blvd, Rapid City, SD 57701-2902 | 2006-02-10 |
| 1669971685 | Rapid City Chiropractic LLC | Chiropractor | 610 East Blvd, Rapid City, SD 57701-2902 | 2018-02-05 |
| 1083000624 | Timothy James Hendeson | Chiropractor | 610 East Blvd, Rapid City, SD 57701-2902 | 2015-04-10 |
| 1023409281 | Ryan V. Swenson, Dc, PC | Chiropractor | 610 East Blvd, Rapid City, SD 57701-2902 | 2015-02-10 |
| 1487839114 | Family Chiropractic Health Clinic PC | Chiropractor | 610 East Blvd, Suite 1, Rapid City, SD 57701-2902 | 2007-12-31 |
| 1134181092 | Daniel Edward Sigman | Chiropractor | 610 East Blvd, Lower Level, Rapid City, SD 57701-2902 | 2006-04-05 |
| 1154394815 | Ryan V Swenson | Chiropractor | 610 East Blvd, Rapid City, SD 57701-2902 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911552 | Allison La Voie | Chiropractor | 3620 Lime Creek Dr, Rapid City, SD 57702-2302 | 2020-10-26 |
| 1154967925 | Kyle Benne | Chiropractor | 2335 W Main St Ste 330, Rapid City, SD 57702-2435 | 2019-11-26 |
| 1881246460 | Devon I Rasmussen | Chiropractor | 1220 Mount Rushmore Rd Ste 1, Rapid City, SD 57701-8264 | 2019-07-12 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1548772247 | Adam Joshua Carr | Chiropractor | 811 Disk Dr Ste 1, Rapid City, SD 57701-7948 | 2017-11-02 |
| 1740727643 | Rebecca Beilstein | Chiropractor | 807 Columbus St, Suite 1, Rapid City, SD 57701-3407 | 2017-01-30 |
| 1093257610 | Jonathan Robert Crosswait | Chiropractor | 1727 W Main St, Suite 2, Rapid City, SD 57702-2500 | 2016-11-14 |
| 1518417104 | Nelson Chiropractic, PC | Chiropractor | 5734 Sheridan Lake Rd Ste 201, Rapid City, SD 57702-8814 | 2016-10-07 |
| 1982150090 | Joel Nikolas | Chiropractor | 3918 Parkview Dr, Rapid City, SD 57701-7700 | 2016-08-29 |
| 1831581206 | Tina M Brents-barnhart | Chiropractor | 13241 Tomaha Ridge Rd, Studio A, Rapid City, SD 57702-8633 | 2015-02-23 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on DR. TIMOTHY JAMES HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.