Organization Active NPI

Hudson Chiropractic P a

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1871779702
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6927 Issued in FL
Legal business name
HUDSON CHIROPRACTIC P A
Practice address
3920 Bee Ridge Rd Ste C-B
Sarasota, FL 34233-1260
Phone
(941) 366-8383
Fax
(941) 951-1485
NPI assigned
Jan 10, 2008
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Adrienne Hendricks
Title
Office Manager
Phone
(941) 366-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6927 FL Primary

Addresses

Primary practice location

3920 Bee Ridge Rd Ste C-B
Sarasota, FL 34233-1260

Mailing address

3920 Bee Ridge Rd Ste C-B
Sarasota, FL 34233-1260
Phone (941) 366-8383

Other identifiers 1

IdentifierTypeStateIssuer
40804OtherFLBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080522000113 FL Part B Supplier - Clinic/Group Practice 1355410929 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

3920 Bee Ridge Rd
Ste Cb
Sarasota, FL 34233
Phone (941) 366-8383

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1871779702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE C-B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331260",
            "telephone_number": "941-366-8383",
            "fax_number": "941-951-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE C-B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331260",
            "telephone_number": "941-366-8383",
            "fax_number": "941-951-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON CHIROPRACTIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "941-366-8383"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "40804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.