Active NPI
Lauren Elizabeth Hendrix, D.C., M.S.
- Sports Physician Chiropractor
- Ellisville, MO
National Provider Identifier
1316264237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2010013424
- Practice address
- 355 Ozark Trail Dr
Suite #9
Ellisville, MO 63011-2164 - Phone
- (636) 394-2225
- Fax
- (636) 256-9153
- NPI assigned
- May 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 2010013424 | MO | |
| Sports Physician Chiropractor | 111NS0005X | 2010013424 | MO | Primary |
Addresses
Primary practice location
355 Ozark Trail Dr
Suite #9
Ellisville, MO 63011-2164
Mailing address
355 Ozark Trail Dr
Suite #9
Ellisville, MO 63011-2164
Phone (636) 394-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101102000555 | MO | Practitioner - Chiropractic | 2567656788 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West County Spine and Joint Chiropractic Clinic, LLC
Practice addresses (Care Compare)
355 Ozark Trail Dr
Suite 9
Ellisville, MO 63011-2164
Phone (636) 394-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
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.
-
- Sports Physician Chiropractor
- Ellisville, MO
- NPI 1487954434
MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1316264237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 OZARK TRAIL DR",
"address_2": "SUITE #9",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112164",
"telephone_number": "636-394-2225",
"fax_number": "636-256-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 OZARK TRAIL DR",
"address_2": "SUITE #9",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112164",
"telephone_number": "636-394-2225",
"fax_number": "636-256-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.C., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-02",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MO",
"license": "2010013424",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "MO",
"license": "2010013424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.