Kevin Scott Hendrickson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034727 Issued in WA

Practice address

1609 W Garland Ave
Spokane, WA 99205-2620

Phone

(509) 327-3393

Fax

(509) 324-9164

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Chiropractic Lifecenter, Inc.

  • Chiropractor
  • Spokane, WA
  • NPI 1700090362
  NPD (past)
• North Pines Chiropractic PS

  • Chiropractor
  • Spokane Valley, WA
  • NPI 1720142904
  NPD (past)
• Quality Life Health Center Inc P S

  • Orthopedic Chiropractor
  • Grangeville, ID
  • NPI 1518030584
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194860858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31502",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233025",
            "telephone_number": "509-953-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052620",
            "telephone_number": "509-327-3393",
            "fax_number": "509-324-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Henderson
• Taylor Christine Henderson
• Randall Craig Hendricks
• Sarah Elizabeth Hendricks, MD
• Alan V Hendrickson, MD
• Raelean Ann Hendrickson, MSW, LICSW
• Sean Hendrickson
• Teddi Joelle Hendrickson, MA, LMHC, NCC, PMH-C
• Alexandra Hendrikson
• Carolyn Hendrikson, ARNP

• Chiropractor in Spokane, WA
• Providers in Spokane, WA by specialty
• Chiropractor in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.