Organization Active NPI

Sidney D Hendricks D.C. Inc

  • Chiropractor
  • Farmington, UT
National Provider Identifier
1306095161
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
870451872 Issued in UT
Legal business name
SIDNEY D HENDRICKS D.C. INC
Practice address
352 S 200 W
Suite 2
Farmington, UT 84025-2423
Phone
(801) 451-7900
Fax
(801) 451-7211
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Sidney D Hendricks, D.C.NPI 1831196633
Title
President
Phone
(801) 451-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 870451872 UT Primary

Addresses

Primary practice location

352 S 200 W
Suite 2
Farmington, UT 84025-2423

Mailing address

PO Box 304
Farmington, UT 84025-0304
Phone (801) 451-7900

Other names 1

  • Wasatch Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000320 UT Part B Supplier - Clinic/Group Practice 4082801030 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, UT

National Provider Directory

National Provider Directory

Locations

352 S 200 W
Ste 2
Farmington, UT 84025
Phone (801) 451-7900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1306095161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250304",
            "telephone_number": "801-451-7900",
            "fax_number": "801-451-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 S 200 W",
            "address_2": "SUITE 2",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252423",
            "telephone_number": "801-451-7900",
            "fax_number": "801-451-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY D HENDRICKS D.C. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-451-7900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "870451872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wasatch Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.