Henricksen Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HENRICKSEN CHIROPRACTIC, LLC

Practice address

250 Crystal Grove Blvd
Lutz, FL 33548-6460

Phone

(907) 723-2853

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Henricksen, DCNPI 1194268771

Title

Owner/Provider

Phone

(907) 723-2853

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Jacob Henricksen

  • Chiropractor
  • Lutz, FL
  • NPI 1194268771
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1346040425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "907-723-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CRYSTAL GROVE BLVD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335486460",
            "telephone_number": "907-723-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRICKSEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "HENRICKSEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "907-723-2853",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Hehn
• Daniel Lee Heinig, M.D.
• Hunter Reece Heinlein, CAA
• Alison Hemsley, DO
• Jada Grace Henderson
• Jacob Henricksen
• Tristan D Hensley, DMD
• Mee Her
• Anabel Hernandez Rodriguez
• Chaletha Hernandez

• Chiropractor in Lutz, FL
• Providers in Lutz, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.