Lorenil Hencock Boncek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010040 Issued in GA

Practice address

5520 Lilburn Stone Mountain Rd Ste E1
Stone Mountain, GA 30087-2876

Phone

(470) 870-8680

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hencock Chiropractic LLC

  dba Wellspot Chiropractic

  • Clinic/Center
  • Stone Mountain, GA
  • NPI 1578273140
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1295343838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4542 WARRIOR TRL SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 LILBURN STONE MOUNTAIN RD STE E1",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872876",
            "telephone_number": "470-870-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4542 Warrior Trl SW",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300474152",
            "country_code": "US",
            "telephone_number": "470-503-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 W Peachtree St NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303083515",
            "country_code": "US",
            "telephone_number": "470-503-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONCEK",
        "first_name": "LORENIL",
        "middle_name": "HENCOCK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "#*%",
            "affiliation": "N",
            "address_1": "4542 Warrior Trl SW",
            "city": "Lilburn",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300474152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Chiropractor in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.