Individual provider Active NPI

Craig A. Hennie, DC

  • Chiropractor
  • Knoxville, TN
National Provider Identifier
1467696161
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001884 Issued in TN
Practice address
5103 Kingston Pike Ste 116
Knoxville, TN 37919-5193
Phone
(865) 679-2225
Fax
(865) 588-8799
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001884 TN Primary

Addresses

Primary practice location

5103 Kingston Pike Ste 116
Knoxville, TN 37919-5193

Mailing address

PO Box 10365
Knoxville, TN 37939-0365
Phone (865) 679-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071117000072 TN Practitioner - Chiropractic 0749378271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthway, IncGroup PAC ID 8921158643, 2 clinicians

Practice addresses (Care Compare)

111 Northview St
Knoxville, TN 37919-5102
Phone (865) 679-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0000001884TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthway, Inc Chiropractor CurrentSince Feb 15, 2009 Accepting new patients

Locations

111 Northview St
Knoxville, TN 37919
Phone (865) 679-2225

5103 Kingston Pike
Ste 116
Knoxville, TN 37919
Phone (865) 679-2225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1467696161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10365",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379390365",
            "telephone_number": "865-679-2225",
            "fax_number": "865-588-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 KINGSTON PIKE STE 116",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195193",
            "telephone_number": "865-679-2225",
            "fax_number": "865-588-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIE",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.