Active NPI
Paul Norman Hendrickson, CP
- Orthotic Fitter
- Denver, CO
National Provider Identifier
1356481998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 1633 Fillmore St
GL5
Denver, CO 80206-1514 - Phone
- (303) 316-2615
- Fax
- (303) 331-9019
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
1633 Fillmore St
GL5
Denver, CO 80206-1514
Mailing address
1633 Fillmore St
GL5
Denver, CO 80206-1514
Phone (303) 316-2615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98928783 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1356481998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 FILLMORE ST",
"address_2": "GL5",
"city": "DENVER",
"state": "CO",
"postal_code": "802061514",
"telephone_number": "303-316-2615",
"fax_number": "303-331-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 FILLMORE ST",
"address_2": "GL5",
"city": "DENVER",
"state": "CO",
"postal_code": "802061514",
"telephone_number": "303-316-2615",
"fax_number": "303-331-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "PAUL",
"middle_name": "NORMAN",
"credential": "CP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98928783",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.