Mary Hendrickson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005348-1 Issued in NY

Practice address

201 Glen Ave
Scotia, NY 12302-2126

Phone

(518) 382-0055

Fax

(518) 382-0099

NPI assigned

Oct 1, 2012

Last updated

Oct 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kinum Chiropractic PC

  • Chiropractor
  • Scotia, NY
  • NPI 1477805844
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1104177054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GLEN AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022126",
            "telephone_number": "518-382-0055",
            "fax_number": "518-382-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GLEN AVE",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022126",
            "telephone_number": "518-382-0055",
            "fax_number": "518-382-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "MARY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005348-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Handi-Van, Inc
• Maureen K. Hansen, LPN
• Christina Harrington Stutzmann
• Elizabeth C Heagle, LMHC
• Virginia Louise Hemmerle, LMSW
• Richard Jay Hoskinson, DDS
• Thomas Joseph Houghtalen, DPT, MTC
• Katie J Hunter
• Tara Hutchings, RPAC
• Chul Hwang, MD

• Chiropractor in Scotia, NY
• Providers in Scotia, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.