NPIMap

Individual provider Active NPI

Earl Robert Hedrick, D.C.

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1093806432
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104002093 Issued in VA
Practice address
4504 Starkey Rd
Suite 100
Roanoke, VA 24018-8540
Phone
(540) 774-2513
Fax
(540) 774-0669
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104002093 VA Primary

Addresses

Primary practice location

4504 Starkey Rd
Suite 100
Roanoke, VA 24018-8540

Mailing address

215 Franklin Parke CT
Christiansburg, VA 24073-4459
Phone (540) 382-6502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Heart Group, Inc CurrentSince Jul 18, 2019 Accepting new patients
Tuck Clinic of Chiropractic Chiropractor Past Accepting new patients
Tuck Chiropractic Corporation Chiropractor PastSince Jun 26, 2017 Accepting new patients
The Spine Center of Roanoke Valley, Inc. Chiropractor Past Accepting new patients

Locations

2565 S Union Ave
Alliance, OH 44601
Phone (330) 821-4455

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093806432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FRANKLIN PARKE CT",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734459",
            "telephone_number": "540-382-6502",
            "fax_number": "540-382-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 STARKEY RD",
            "address_2": "SUITE 100",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188540",
            "telephone_number": "540-774-2513",
            "fax_number": "540-774-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "EARL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104002093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.