Active NPI
Craig A. Hennie, DC
- Chiropractor
- Knoxville, TN
National Provider Identifier
1467696161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001884
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001884 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthway, Inc | Chiropractor | Current | 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.
-
- Chiropractor
- Knoxville, TN
- NPI 1447326723
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.