Provider Type Icon

MR. KEVIN DUANE HENDERSON DC NPI 1720070477


NPI Information

NPI: 1720070477
Provider Name: MR. KEVIN DUANE HENDERSON, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2040 6TH AVE
TACOMA, WA
ZIP 98403
Phone: (253) 572-1881
Get Directions

MR. Kevin Duane Henderson, DC is a chiropractor in Tacoma, WA with 41 years of experience. The provider is 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. MR. Kevin Duane Henderson, DC NPI is 1720070477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:1983

The provider's business location address is:

2040 6TH AVE
TACOMA, WA
ZIP 98403-045
Phone: (253) 572-1881
Fax: (253) 572-5682

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 8/18/2005 and was last updated on 3/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor025202 CHOOOO2023WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HE3793OTHERWASHINGTONREGENCE RIDER NUMBER
2911471138OTHERWASHINGTONPREMERA BLUE CROSS SHIELD
3KH1021774OTHERWASHINGTONASH NETQORK
40070405OTHERWASHINGTONWORKERS COMP
52028538MEDICAIDWASHINGTON
6911471138OTHERWASHINGTONCIGNA
7873745OTHERWASHINGTONFIRST CHOICE HEALTH
8G001000484MEDICARE PINWASHINGTON
9911471138OTHERWASHINGTONAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.