James A. Hendricks, D.C.
Individual provider Active NPI Chiropractor · Freeport, ME
NPI 1689799074 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689799074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CR1164 (ME)
- Practice address
- 174 S Freeport Rd
Suite 1F
Freeport, ME 04032-6145 - Phone
- (207) 865-1183
- Fax
- (207) 865-1183
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
174 S Freeport Rd
Suite 1F
Freeport, ME 04032-6145
Phone (207) 865-1183
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050829000967 | ME | Practitioner - Chiropractic | 0648201673 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Integrated Health Center, P.a. | Chiropractor | Current |
Accepting new patients |
Locations
174 S Freeport Rd
Ste 1F
Freeport, ME 04032
Phone (207) 865-1183
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1164 | ME | Yes |
Addresses
Primary practice location
174 S Freeport Rd
Suite 1F
Freeport, ME 04032-6145
Mailing address
174 S Freeport Rd
Suite 1F
Freeport, ME 04032-6145
Phone (207) 865-1183
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1492459 | Other | ME | ANTHEM |
| 038032 | Other | ME | AETNA |
| 133220099 | Medicaid | ME |
Other providers in Freeport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.