DR. CRAIG HENDERSON (NPI# 1811921315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811921315 |
| Entity Type | Individual |
| Full Name | DR. CRAIG HENDERSON |
| Credential | D.C. |
| Practice Address |
510b Sw 5th Ter Williston FL 32696-2548 |
| Practice Telephone | 3525285433 |
| Practice Fax Number | 3525280656 |
| Mailing Telephone | 3525285433 |
| Mailing Fax Number | 3525280656 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH4752 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROVIDER ID | 70645 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578537866 | Craig Bowers Henderson | Dentist | 79 Old Clairton Rd, Pittsburgh, PA 15236-3916 | 2006-02-14 |
| 1710218649 | Craig Henderson | Social Worker | 311 S Madison Ave, Tulsa, OK 74120-3208 | 2010-01-15 |
| 1598896821 | Craig S Henderson | Nurse Anesthetist, Certified Registered | 8212 Summa Ave, Baton Rouge, LA 70809-3421 | 2007-03-08 |
| 1902870967 | Craig Henderson | Obstetrics & Gynecology | 804 W Park Ave, Ocean, NJ 07712-7272 | 2006-02-15 |
| Street Address |
510B SW 5TH TER |
| City | WILLISTON |
| State | FL |
| Zip Code | 32696-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952671315 | Craig Henderson Dc Pa | Chiropractor | 510b Sw 5th Ter, Williston, FL 32696-2548 | 2012-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
| 1346770930 | Michelle Yvette Dempsey | Home Health Aide | 931 Ne 207th Ave, Williston, FL 32696 | 2017-06-15 |
| 1801157185 | Pratibha Lumb | Family Medicine | 630 N. Main Street, Williston, FL 32696 | 2012-06-04 |
| 1821261306 | Raymond T Webber | Dentist | 610 Sw 1st Ave, Williston, FL 32696 | 2008-04-07 |
| 1003912635 | Jeremie Joseph Young | General Practice | 125 Sw 7th Street, Williston, FL 32696 | 2006-09-14 |
| 1073514543 | Kolli Prabhakara Reddy | Family Medicine | 520 Sw 5th Ave, Williston, FL 32696 | 2005-08-09 |
| 1578584884 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-07-21 |
| 1841631249 | Lawrence C Rush Jr. | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2013-07-13 |
| 1952401648 | Teresa Sever | Pharmacist | 727 W Noble Ave, Williston, FL 32696-1515 | 2006-09-23 |
| 1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
| Find all providers in zip 32696 | ||||
| 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 |
|---|---|---|---|---|
| 1598312365 | Basin Health & Spine Center | Chiropractor | 1319 2nd Ave W # 101, Williston, ND 58801-4164 | 2019-08-26 |
| 1861057432 | Brook Mcfarlin Chiropractic LLC | Chiropractor | 3314 13th Ave E, Williston, ND 58801-6361 | 2019-05-08 |
| 1629532734 | Jason Dewitt Moore | Chiropractor | 2204 2nd Ave W Ste 102, Williston, ND 58801-3485 | 2019-01-23 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1932643012 | Alyssa Rae Strassel | Chiropractor | 600 Blair Park Rd Ste 260, Williston, VT 05495-7586 | 2016-12-08 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1487948196 | Kyle Robert Ceynar | Chiropractor | 2315 2nd Ave W, Williston, ND 58801-3411 | 2011-05-31 |
| 1447558978 | Chase Lee Theige | Chiropractor | 717 E Broadway, Williston, ND 58801-6166 | 2011-03-08 |
| 1841591799 | Lacee N Carr | Chiropractor | 34 24th St W, Williston, ND 58801-6271 | 2010-11-09 |
| 1457661126 | Brian Mehaffey | Chiropractor | 4357 Oak Hill Road, Williston, VT 05495-7101 | 2010-10-15 |
| Find all providers in WILLISTON | ||||
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| 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.