Individual provider Active NPI

David Sendroff, DC

  • Chiropractor
  • Hickory, NC
National Provider Identifier
1114947702
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111N00000X Issued in NC
Practice address
2440 Highway 70 Southeast
Hickory, NC 28602-8301
Phone
(828) 328-3305
Fax
(828) 328-9151
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 111N00000X NC Primary

Addresses

Primary practice location

2440 Highway 70 Southeast
Hickory, NC 28602-8301

Mailing address

2440 Highway 70 South East
Hickory, NC 28602
Phone (828) 328-3305

Other identifiers 1

IdentifierTypeStateIssuer
7908788MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120327000051 NC Practitioner - Chiropractic 7517127723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2810 US Hwy 70 SE
Hickory, NC 28602-8691
Phone (828) 328-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111N00000XNCMDChiropractor
2069NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sendroff Chiropractic Center Chiropractor CurrentSince May 29, 1999 Accepting new patients

Locations

2810 US Highway 70 SE
Hickory, NC 28602
Phone (828) 328-3305

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114947702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HIGHWAY 70 SOUTH EAST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-328-3305",
            "fax_number": "828-328-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HIGHWAY 70 SOUTHEAST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028301",
            "telephone_number": "828-328-3305",
            "fax_number": "828-328-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENDROFF",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.