Robert Paul Hennen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6101 Issued in MN

Practice address

317 W Main St
Marshall, MN 56258-3790

Phone

(507) 337-2423

Fax

(507) 337-2421

NPI assigned

Jun 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hennen Chiropractic P.L.L.C.

  dba HealthSource of Marshall

  • Chiropractor
  • Marshall, MN
  • NPI 1346624947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1417337874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W MAIN ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583790",
            "telephone_number": "507-337-2423",
            "fax_number": "507-337-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W MAIN ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562583790",
            "telephone_number": "507-337-2423",
            "fax_number": "507-337-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEN",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417337874",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Louise Hemmingson, OD
• Randell John Henderson, RN
• Hennen Chiropractic P.L.L.C. (HealthSource of Marshall)
• Faith Elizabeth Hennen, CNP
• Megan Hennen
• Zoe Hess
• Erik Hill, DDS
• Laurie M Hill, MD
• Hayden Ryan Hilyar
• Timothy Wayne Hindbjorgen, MD

• Chiropractor in Marshall, MN
• Providers in Marshall, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.