Scott W Hedrick, DCPA

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH0005834 Issued in FL

Practice address

3475 Sheridan St
Suite 207
Hollywood, FL 33021-3663

Phone

(954) 987-2220

Fax

(954) 987-2217

NPI assigned

Jan 30, 2007

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Scott W Hedrick Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Scott W Hedrick Dcpa

  dba Hedrick Chiropractic & Nutrition

  • Nutrition Chiropractor
  • Hollywood, FL
  • NPI 1851424147
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1982740437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST",
            "address_2": "SUITE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213663",
            "telephone_number": "954-987-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST",
            "address_2": "SUITE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213663",
            "telephone_number": "954-987-2220",
            "fax_number": "954-987-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "DCPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH0005834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22406",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050928100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "HEDRICK",
            "middle_name": "W",
            "credential": "DCPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Nutrition Chiropractor in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.