Another Path, PLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4301038246 Issued in MI

Legal business name

ANOTHER PATH, PLC

Practice address

12100 S Benzonia TRL
Empire, MI 49630

Phone

(231) 941-6670

Fax

(231) 326-3026

NPI assigned

Jan 24, 2008

Organization subpart

No

Name

Dr. David R. Hendricks, M.D.

Title

Physician

Phone

(231) 942-6670

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2018.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1861679664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 S BENZONIA TRL",
            "city": "EMPIRE",
            "state": "MI",
            "postal_code": "496308503",
            "telephone_number": "231-941-6670",
            "fax_number": "231-326-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 S BENZONIA TRL",
            "city": "EMPIRE",
            "state": "MI",
            "postal_code": "49630",
            "telephone_number": "231-941-6670",
            "fax_number": "231-326-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER PATH, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-942-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "4301038246",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801035572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Empire, MI
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.