Benjamin Eric Hendrix, D.C.
Individual provider Active NPI Chiropractor · O'Fallon, MO
NPI 1417361262 · NPPES record last updated Jun 29, 2015
Key facts
- NPI
- 1417361262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2014018403 (MO)
- Practice address
- 2960 State Highway K
O'Fallon, MO 63368 - Phone
- (636) 272-7473
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tross Elite Golf Performance and Wellness LLC
Practice addresses (Care Compare)
5055 Hwy N
Suite 108
Saint Charles, MO 63304-8031
Phone (636) 706-6171
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220309001524 | MO | Practitioner - Chiropractic | 6305231309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tross Elite Golf Performance and Wellness LLC | Chiropractor | Current |
Accepting new patients |
Locations
2960 Highway K
O Fallon, MO 63368
Phone (636) 272-7473
5055 Highway N
Ste 108
Saint Charles, MO 63304
Phone (417) 773-0516
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2014018403 | MO | Yes |
Addresses
Primary practice location
2960 State Highway K
O'Fallon, MO 63368
Mailing address
15415 Elk Ridge LN
Chesterfield, MO 63017-5309
Phone (314) 313-6631
Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.