Individual provider Active NPI

Melinda C Hendrick, DC

  • Chiropractor
  • Centennial, CO
National Provider Identifier
1922301217
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6613 Issued in CO
Practice address
6901 S Yosemite St
Ste 102
Centennial, CO 80112-1413
Phone
(303) 221-1223
Fax
(303) 770-6018
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31806 CA
Chiropractor 111N00000X CH 60340202 WA
Chiropractor 111N00000X 6613 CO Primary

Addresses

Primary practice location

6901 S Yosemite St
Ste 102
Centennial, CO 80112-1413

Mailing address

6901 S Yosemite St
Ste 102
Centennial, CO 80112-1413
Phone (303) 221-1223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000563 CO Practitioner - Chiropractic 0547459562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6901 S Yosemite St
Centennial, CO 80112-1413
Phone (303) 221-1223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31806CAMDChiropractor
6613COMDChiropractor
CH 60340202WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restad Chiropractic PLLC Chiropractor CurrentSince Jun 25, 2007 Accepting new patients
Clarity Chiropractic Chiropractor CurrentSince Dec 7, 2020 Accepting new patients
Wroten Chiropractic Incorporated Chiropractor PastSince Oct 5, 2021 Accepting new patients

Locations

1197 E Washington St
Petaluma, CA 94952
Phone (707) 773-2225

1301 Redwood Way
Ste 150
Petaluma, CA 94954
Phone (707) 773-2225

6901 S Yosemite St
Ste 102
Centennial, CO 80112
Phone (303) 221-1223

Organizations & group practices 3

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1922301217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S YOSEMITE ST",
            "address_2": "STE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121413",
            "telephone_number": "303-221-1223",
            "fax_number": "303-770-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S YOSEMITE ST",
            "address_2": "STE 102",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121413",
            "telephone_number": "303-221-1223",
            "fax_number": "303-770-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "MELINDA",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60340202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.