Organization Active NPI

Hendrick Chiropractic and Wellness Center, P.a.

  • Chiropractor
  • McAllen, TX
National Provider Identifier
1013964543
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10328 Issued in TX
Legal business name
HENDRICK CHIROPRACTIC AND WELLNESS CENTER, P.A.
Practice address
5403 N McColl Rd
McAllen, TX 78504-2206
Phone
(956) 630-2255
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Blaine Loren Hendrick, D.C.
Title
Owner
Phone
(956) 630-2255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10328 TX Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10329 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 796415 TX

Addresses

Primary practice location

5403 N McColl Rd
McAllen, TX 78504-2206

Mailing address

5403 N. McColl Rd
McAllen, TX 78504
Phone (956) 630-2255

Other identifiers 2

IdentifierTypeStateIssuer
DF4188OtherTXMEDICARE RAILROAD
0002PCOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

6316 N 10th St
Ste G703
McAllen, TX 78504
Phone (956) 630-2255

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1013964543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 N. MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-630-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042206",
            "telephone_number": "956-630-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK CHIROPRACTIC AND WELLNESS CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-630-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10328",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "796415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF4188",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002PC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.