Individual provider Active NPI

Chad Leroy Hendrickson, D.C.

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1154667632
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5736 Issued in MN
Practice address
6545 Flying Cloud Dr Ste 100
Eden Prairie, MN 55344-3320
Phone
(952) 941-3311
Fax
(952) 944-2004
NPI assigned
Jan 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5736 MN Primary

Addresses

Primary practice location

6545 Flying Cloud Dr Ste 100
Eden Prairie, MN 55344-3320

Mailing address

6545 Flying Cloud Dr Ste 100
Eden Prairie, MN 55344-3320
Phone (952) 941-3311

Other practice location 1

6550 York Ave S Ste 600
Edina, MN 55435-2367
Phone (952) 941-3311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130125000265 MN Practitioner - Chiropractic 5496909533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6550 York Ave S
Suite 600
Edina, MN 55435-2367
Phone (952) 941-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5736MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Orthopedics & Chiropractic, PLLC Chiropractor CurrentSince Sep 20, 2017 Accepting new patients
Institute for Orthopedics & Chiropractic, PLLC Chiropractor CurrentSince Sep 20, 2017 Accepting new patients

Locations

6545 Flying Cloud Dr
Ste 100
Eden Prairie, MN 55344
Phone (952) 941-3311

6550 York Ave S
Ste 600
Minneapolis, MN 55435
Phone (952) 941-3311

2550 University Ave W
Ste 143N
Saint Paul, MN 55114
Phone (651) 642-1013

2550 University Ave W
Ste 137N
Saint Paul, MN 55114
Phone (952) 941-3311

Organizations & group practices 2

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": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1154667632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FLYING CLOUD DR STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443320",
            "telephone_number": "952-941-3311",
            "fax_number": "952-944-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FLYING CLOUD DR STE 100",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443320",
            "telephone_number": "952-941-3311",
            "fax_number": "952-944-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 York Ave S Ste 600",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352367",
            "country_code": "US",
            "telephone_number": "952-941-3311",
            "fax_number": "952-944-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "CHAD",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.