Gerald Fredric Hendrickson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1521 Issued in WI

Practice address

1026 Oregon St
Oshkosh, WI 54902-6457

Phone

(920) 236-1200

Fax

(877) 440-6236

NPI assigned

May 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hendrickson Chiropractic Office S.C.

  • Chiropractor
  • Oshkosh, WI
  • NPI 1336260546
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1457303109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 OREGON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026457",
            "telephone_number": "920-236-1200",
            "fax_number": "877-440-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 OREGON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549026457",
            "telephone_number": "920-236-1200",
            "fax_number": "877-440-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "GERALD",
        "middle_name": "FREDRIC",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Joseph Heinzen, M.D.
• Alana Heiting
• Rick Helm, M.A.
• Carol J. Hemauer, RN, BSN, MSOM, L.AC.
• Hendrickson Chiropractic Office S.C.
• Douglas J Henke, M.D.
• Kristen Henke, PH.D.
• Thad D Henkel-Hanke
• Jennifer Henning, LPC-IT
• Taylor M Henning, LPC

• Chiropractor in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.