Individual provider Active NPI

Brent Alan Hendon, D.C.

  • Chiropractor
  • Arlington Heights, IL
National Provider Identifier
1669520037
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008354 Issued in IL
Practice address
1616 W Northwest Hwy
Arlington Heights, IL 60004-5254
Phone
(847) 398-3818
Fax
(847) 398-0138
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 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 038-008354 IL Primary

Addresses

Primary practice location

1616 W Northwest Hwy
Arlington Heights, IL 60004-5254

Mailing address

1616 W Northwest Hwy
Arlington Heights, IL 60004-5254
Phone (847) 398-3818

Other identifiers 1

IdentifierTypeStateIssuer
1622026OtherILBLUECROSSBLUESHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000437 IL Practitioner - Chiropractic 1658474044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1616 W Northwest Hwy
Arlington Heights, IL 60004-5254
Phone (847) 398-3818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008354ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Family Chiropractic LTD Chiropractor CurrentSince Feb 9, 1998 Accepting new patients

Locations

1616 W Northwest Hwy
Arlington Heights, IL 60004
Phone (847) 398-3818

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1669520037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045254",
            "telephone_number": "847-398-3818",
            "fax_number": "847-398-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W NORTHWEST HWY",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600045254",
            "telephone_number": "847-398-3818",
            "fax_number": "847-398-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDON",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "1622026",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.