Individual provider Active NPI

Aaron John Hendrickson, DC

  • Chiropractor
  • Buffalo, MN
National Provider Identifier
1992867261
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3499 Issued in MN
Practice address
1200 N Hwy 25
Suite 109
Buffalo, MN 55313-2930
Phone
(763) 682-5490
Fax
(763) 682-9459
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3499 MN Primary

Addresses

Primary practice location

1200 N Hwy 25
Suite 109
Buffalo, MN 55313-2930

Mailing address

1200 N Hwy 25
Suite 109
Buffalo, MN 55313-2930
Phone (763) 682-5490

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
3499MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kilquan LTD Chiropractor PastSince May 13, 2015 Accepting new patients

Organizations & group practices 1

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992867261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N HWY 25",
            "address_2": "SUITE 109",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132930",
            "telephone_number": "763-682-5490",
            "fax_number": "763-682-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N HWY 25",
            "address_2": "SUITE 109",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132930",
            "telephone_number": "763-682-5490",
            "fax_number": "763-682-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "AARON",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.