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Deactivated NPI 1952710212 Deactivated / Inactive NPI Male Practitioner

John Henderson

Chiropractor • Clovis, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Henderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2014
NPI Deactivation Date January 21, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

John Henderson was a registered Chiropractor practicing in Clovis, CA. Throughout an active medical career spanning 7 years, John Henderson provided care at the practice location at 1624 N AVIGNON LN until profile deactivation on 2021-01-21.

Practice Location & Contact Primary Location

Practice Address

1624 N Avignon Ln

Clovis, CA 936193798

Telephone 5595959500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.8 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
27 Specialists

Practicing in Clovis, CA (12100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License CA 14045

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 21, 2021

Record deactivated on January 21, 2021

NPI Profile Active August 11, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 11, 2014

Registered at 1624 N AVIGNON LN, CLOVIS, CA 936193798 (Tel: 5595959500)

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Updated Business Mailing Address August 11, 2014

Registered at 1624 N AVIGNON LN, CLOVIS, CA 936193798 (Tel: 5595959500)

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Provider Name / Credentials Updated August 11, 2014

Recorded as JOHN HENDERSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2014

Chiropractor (License #14045 in CA)

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Initial NPI Registration & Enumeration August 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952710212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2014
Last Update: August 11, 2014
Deactivation Date: January 21, 2021

Mailing Address

1624 N Avignon Ln

Clovis, CA 936193798

Phone: 5595959500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.