Individual provider Active NPI

Lauren Elizabeth Hendrix, D.C., M.S.

  • Sports Physician Chiropractor
  • Ellisville, MO
National Provider Identifier
1316264237
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2010013424 Issued in MO
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

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 3779777990, 2 clinicians

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.

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.

Verify at the official NPI Registry.