Hendricks Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4587 Issued in TX

Legal business name

HENDRICKS CHIROPRACTIC, P.A.

Practice address

1213 Doctors Dr.
Hendricks Chiropractic P.a.
Tyler, TX 75701

Phone

(903) 597-5000

Fax

(903) 596-9402

NPI assigned

Mar 31, 2014

Last updated

Mar 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig B. Hendricks, D.C.NPI 1821126160

Title

Doctor/Owner

Phone

(903) 597-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig B. Hendricks, D.C.

  • Chiropractor
  • Tyler, TX
  • NPI 1821126160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1326466046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 DOCTORS DR.",
            "address_2": "HENDRICKS CHIROPRACTIC P.A.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-597-5000",
            "fax_number": "903-596-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 DOCTORS DR.",
            "address_2": "HENDRICKS CHIROPRACTIC P.A.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-597-5000",
            "fax_number": "903-596-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICKS CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "903-597-5000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hattie E Henderson, M.D.
• Heather L Henderson
• Raven Henderson, M.D.
• Rebecca Henderson, MA, LPC
• Tyra Henderson
• Craig B. Hendricks, D.C.
• Michael Bret Hendricks, MD
• Jodi Hendrickson
• Cari Hendrix
• Katherine Sue Henke, PT, DPT

• Chiropractor in Tyler, TX
• Providers in Tyler, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.