Organization Active NPI

Hendrickson Chiropractic PA

  • Chiropractor
  • Buffalo, MN
National Provider Identifier
1073675344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HENDRICKSON CHIROPRACTIC PA
Practice address
1200 N Hwy 25
Suite 109
Buffalo, MN 55313-2930
Phone
(763) 682-5490
Fax
(763) 682-9459
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aaron John Hendrickson, DCNPI 1992867261
Title
Owner
Phone
(763) 682-5490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1200 N Hwy 25
Suite 109
Buffalo, MN 55313-2930

Mailing address

1200 N Hwy 25
Suite 109
Buffalo, MN 55313-2930
Phone (763) 682-5490

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073675344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N HWY 25",
            "address_2": "SUITE 109",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132930",
            "telephone_number": "763-682-5490",
            "fax_number": "763-682-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N HWY 25",
            "address_2": "SUITE 109",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132930",
            "telephone_number": "763-682-5490",
            "fax_number": "763-682-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKSON CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-682-5490",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.