Organization Active NPI

Scott W Hedrick Dcpa

  • Nutrition Chiropractor
  • Hollywood, FL
National Provider Identifier
1851424147
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
CH0005834 Issued in FL
Legal business name
SCOTT W HEDRICK DCPA
Practice address
3475 Sheridan St
Suite 207
Hollywood, FL 33021-3663
Phone
(954) 987-2220
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Scott W Hedrick, DCPA
Title
Manager
Phone
(954) 987-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X CH0005834 FL Primary

Addresses

Primary practice location

3475 Sheridan St
Suite 207
Hollywood, FL 33021-3663

Mailing address

3475 Sheridan St
Suite 207
Hollywood, FL 33021-3663
Phone (954) 987-2220

Other identifiers 1

IdentifierTypeStateIssuer
050928100MedicaidFL

Other names 1

  • Hedrick Chiropractic & Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

3475 Sheridan St
Ste 207
Hollywood, FL 33021
Phone (954) 665-6443

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1851424147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST",
            "address_2": "SUITE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213663",
            "telephone_number": "954-987-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST",
            "address_2": "SUITE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213663",
            "telephone_number": "954-987-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W HEDRICK DCPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-987-2220",
        "authorized_official_credential": "DCPA"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH0005834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050928100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hedrick Chiropractic & Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.