Individual provider Active NPI

Jared Nathan Hendershot, DC

  • Chiropractor
  • Spokane Valley, WA
National Provider Identifier
1922693076
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61136679 Issued in WA
Practice address
16201 E Indiana Ave Ste 1111
Spokane Valley, WA 99216-2838
Phone
(509) 927-8997
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61136679 WA Primary

Addresses

Primary practice location

16201 E Indiana Ave Ste 1111
Spokane Valley, WA 99216-2838

Mailing address

16201 E Indiana Ave Ste 1111
Spokane Valley, WA 99216-2838
Phone (509) 927-8997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412000474 WA Practitioner - Chiropractic 7810305992 Practice locations: Spokane Valley, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8919 E Broadway Ave
Spokane Valley, WA 99212-2719
Phone (509) 924-7374

991 NE Riddell Rd
Bremerton, WA 98310-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61136679WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Chiropractic and Wellness PLLC Chiropractor CurrentSince May 6, 2026 Accepting new patients
Pearson and Weary Pain Relief Clinics P.C. Chiropractor CurrentSince Mar 2, 2021 Accepting new patients

Locations

16201 E Indiana Ave
Ste 1111
Spokane Valley, WA 99216
Phone (509) 927-8997

8919 E Broadway Ave
Spokane Valley, WA 99212
Phone (509) 924-7374

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1922693076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 1111",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-927-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 1111",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-927-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "JARED",
        "middle_name": "NATHAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61136679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.