Individual provider Active NPI

Joseph Wesley Hendricks, DC

  • Independent Medical Examiner Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1962878983
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
4240 Issued in SC
Practice address
725 Coleman Blvd Apt 116
Mount Pleasant, SC 29464-6002
Phone
(201) 213-5196
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 4240 SC Primary

Addresses

Primary practice location

725 Coleman Blvd Apt 116
Mount Pleasant, SC 29464-6002

Mailing address

725 Coleman Blvd Apt 116
Mount Pleasant, SC 29464-6002
Phone (201) 213-5196

Other practice location 1

209 Columbus Ave
Boston, MA 02116-5109
Phone (617) 247-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4240SCMDClinical Neurophysiology Physician
3506MAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962878983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 COLEMAN BLVD APT 116",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646002",
            "telephone_number": "201-213-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 COLEMAN BLVD APT 116",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646002",
            "telephone_number": "201-213-5196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Columbus Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021165109",
            "country_code": "US",
            "telephone_number": "617-247-2300",
            "fax_number": "617-375-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JOSEPH",
        "middle_name": "WESLEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "SC",
            "license": "4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.