Matthew C Hendricks, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010789 Issued in MI

Practice address

151 S Main Ste 4
Cedar Springs, MI 49319-8950

Phone

(616) 696-2688

Fax

(616) 696-2663

NPI assigned

Apr 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Highland Family Chiropractic P.C.Group PAC ID 2668605882, 2 clinicians

Stiles Chiropractic PCGroup PAC ID 4880847490, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Family Chiropractic P.C.

  • Chiropractor
  • Highland, MI
  • NPI 1730518556
  Medicare reassignment Care Compare group NPD
• Stiles Chiropractic, PC

  • Chiropractor
  • Novi, MI
  • NPI 1215199278
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1053974113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S MAIN STE 4",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198950",
            "telephone_number": "616-696-2688",
            "fax_number": "616-696-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S MAIN STE 4",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198950",
            "telephone_number": "616-696-2688",
            "fax_number": "616-696-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cedar Springs, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.