Paul J Hennicken, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3322 Issued in SC

Practice address

1624 Woodruff Rd Ste 8
Greenville, SC 29607-5944

Phone

(864) 363-5239

NPI assigned

Mar 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Hennicken Family Chiropractic

  • Chiropractor
  • Greenville, SC
  • NPI 1427284637
  NPD (past) Authorized official
• Carter Chiropractic Center LLC

  • Chiropractor
  • Greenville, SC
  • NPI 1255306361
  NPD (past)
• Emmanuel Associates LLC

  • Chiropractor
  • Greenville, SC
  • NPI 1124884986
  NPD (past)
• Your Familys Chiropractic

  • Chiropractor
  • Duncan, SC
  • NPI 1134312630
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1154591568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 GLOBAL DR",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074628",
            "telephone_number": "864-644-2700",
            "fax_number": "864-644-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 WOODRUFF RD STE 8",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075944",
            "telephone_number": "864-363-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNICKEN",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "3322",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lani N Hendrix, APRN-CNP
• William M Hendry, DOM
• Fahima Shehady Heninger, CRNA
• Maggie Hennessy
• Hennicken Family Chiropractic
• Angel Marie Henning, LPC
• Autumn R. Henning, MSCCCSLPCOMIBCLC
• Katelyn Hennis, OTR/L
• Christine Campbell Henrie, MA, LPC
• Henry Chiropractic Clinic LLC

• Chiropractor in Greenville, SC
• Providers in Greenville, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.