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HENDERSON FAMILY CHIROPRACTIC LLC
NPI 1265725899
Chiropractor in Berlin, CT

Active since May 16, 2011
1097 FARMINGTON AVE, BERLIN, CT 06037(860) 828-8220(860) 828-8220 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Henderson Family Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDERSON FAMILY CHIROPRACTIC LLC (NPI 1265725899) is a healthcare organization registered as a chiropractor in Berlin, Connecticut and active in the NPI registry since May 2011. The organization lists Walter Henderson, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1265725899
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHENDERSON FAMILY CHIROPRACTIC LLC
Location Address1097 FARMINGTON AVEBerlin, CT 06037-2241
Mailing Address1097 Farmington AveBerlin, CT 06037-2241 · (860) 828-8220 · Fax (860) 828-8220
Phone(860) 828-8220
Fax(860) 828-8220
Organization SubpartNo
Authorized OfficialWalter HendersonDoctor/owner · (860) 828-8220
Enumeration DateMay 16, 2011
Last NPPES UpdateJune 9, 2011
✔ NPI 1265725899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 001443
Definition
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.
1097 FARMINGTON AVE, Berlin, CT 06037
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN350001201CT
Medicare UPINU90686CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henderson Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20110620000381Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Henderson Family Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Walter Henderson, D.C.
Chiropractic
NPI 1801945548
1101 FARMINGTON AVE
Berlin, CT 06037
(860) 828-8220
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henderson Family Chiropractic LLC's NPI number?

The NPI number for Henderson Family Chiropractic LLC is 1265725899. It was assigned to this organization in the NPPES registry on May 16, 2011.

Where is Henderson Family Chiropractic LLC located?

Henderson Family Chiropractic LLC is located at 1097 Farmington Ave, Berlin, CT 06037. The listed phone number is (860) 828-8220.

What is Henderson Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Henderson Family Chiropractic LLC enrolled in Medicare?

Yes. Henderson Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

When is Henderson Family Chiropractic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Henderson Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Henderson Family Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Henderson Family Chiropractic LLC was last updated on June 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.