Hendricks Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001451 Issued in IN

Legal business name

HENDRICKS CHIROPRACTIC PC

Practice address

663 CR 17
Suite 3
Elkhart, IN 46516-9568

Phone

(574) 522-2255

Fax

(574) 522-1026

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Derrick R. Hendricks, D.C.NPI 1992753230

Title

President

Phone

(574) 522-2255

Specialties & licenses 1

Addresses

Other names 1

• Amberwood Terrace Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derrick R Hendricks, D.C.

  • Chiropractor
  • Elkhart, IN
  • NPI 1992753230
  Medicare reassignment NPD Authorized official
• Nadia Kidun, FNP

  • Family Nurse Practitioner
  • Goshen, IN
  • NPI 1255684031
  NPD (past)
• Angela G Lucterhand, D.C.

  • Chiropractor
  • Elkhart, IN
  • NPI 1023337235
  NPD (past)
• Matthew Coury, DC

  • Chiropractor
  • Rostraver Township, PA
  • NPI 1881259232
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1124235254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 COUNTY ROAD 17 STE 3",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169329",
            "telephone_number": "574-522-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 CR 17",
            "address_2": "SUITE 3",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169568",
            "telephone_number": "574-522-2255",
            "fax_number": "574-522-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-522-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amberwood Terrace Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hellenic Senior Living of Elkhart, LLC
• Emma Helmuth
• James H Hemry, PHD HSPP
• Melissa A Henderson, O.D
• Pleas V. Henderson Jr., CRNA
• Hendricks County Hospital
• Derrick R Hendricks, D.C.
• Mary G Henehan, LCSW
• Sean Matthew Henning, D.P.M.
• Paige Henry

• Chiropractor in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.