CHARLES MARK HENDRICKS (NPI# 1700997483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700997483 |
| Entity Type | Individual |
| Full Name | CHARLES MARK HENDRICKS |
| Credential | DC |
| Practice Address |
112 North Main Ashland City TN 37015 |
| Practice Telephone | 6157925112 |
| Practice Fax Number | 6157925165 |
| Mailing Telephone | 6157925112 |
| Mailing Fax Number | 6157925165 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | TN1729 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3971523 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013068568 | Charles Robert Hendricks Jr. | Physical Therapist | 4400 Us Highway 9, Suite 1500, Freehold, NJ 07728-1383 | 2007-01-12 |
| 1356499016 | Charles Michael Hendricks | Psychiatry & Neurology | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2007-01-08 |
| 1174551394 | Charles Hendricks | Surgery | 17 Hancock St, Bar Harbor, ME 04609-1714 | 2006-06-28 |
| 1194724799 | Charles W Hendricks | Internal Medicine | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2005-07-18 |
| Street Address |
112 NORTH MAIN |
| City | ASHLAND CITY |
| State | TN |
| Zip Code | 37015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
| 1043709934 | Randi Danielle Hull | Licensed Practical Nurse | 162 John Mayfield Dr, Ste 200, Ashland City, TN 37015 | 2018-05-07 |
| 1760922850 | Krystle Deal | Nurse Practitioner | 150 Hutton Place, Ashland City, TN 37015 | 2017-03-08 |
| 1578926879 | Rehabcare Group East, LLC | Clinic/Center | 2035 Vantage Pointe, Ashland City, TN 37015 | 2016-04-04 |
| 1700127396 | Phonethip Thepsiri | Counselor | 162 County Services Drive, Suite, Ashland City, TN 37015 | 2013-03-07 |
| 1376774497 | Frances Marie Ball | Physical Therapy Assistant | 111 Pemberton Drive, Hillcrest Healthcare Center, Ashland City, TN 37015 | 2009-08-06 |
| 1629291356 | Stephen M Kaufman | Dentist | 202 C Main Street, Ashland City, TN 37015 | 2007-04-11 |
| 1528124484 | County of Cheatham | Ambulance | 3455 Bell Street, Ashland City, TN 37015 | 2006-12-28 |
| 1730264300 | Wal-mart Stores East, Lp | Technician/Technologist | 1626 St. Route 12 So., Ashland City, TN 37015 | 2006-10-25 |
| 1962486191 | Christian Care Center of Cheatham County Inc | Nursing Facility/Intermediate Care Facility | 2501 River Rd, Ashland City, TN 37015 | 2005-12-01 |
| Find all providers in zip 37015 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366612475 | Aaron L Workman | Chiropractor | 189 Monroe Pl, Suite 112, Ashland City, TN 37015-4938 | 2008-03-04 |
| 1972774313 | Liquid Rei, LLC | Chiropractor | 108 N Main St, Ashland City, TN 37015-1708 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881523 | Mitchell Craig Mcguire | Chiropractor | 28 White Bridge Pike Ste 316, Nashville, TN 37205-1467 | 2020-11-06 |
| 1790385888 | Roger Gale Williams II | Chiropractor | 121 N Commerce St Ste 212, Johnson City, TN 37604-4712 | 2020-10-28 |
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1164039459 | Ben Johnson | Chiropractor | 1265 Interstate Dr Ste 201b, Cookeville, TN 38501-5227 | 2020-09-30 |
| 1124634126 | Michael Haun | Chiropractor | 2105 E Center St Ste C, Kingsport, TN 37664-2664 | 2020-09-16 |
| 1356955629 | Well 386 | Chiropractor | 124 Goodview Way Ste D, Gallatin, TN 37066-3125 | 2020-09-03 |
| 1730792425 | Stefanie Mara Hinesley | Chiropractor | 1316 Central Ct, Hermitage, TN 37076-3142 | 2020-08-24 |
| 1942818091 | 100 Chiro Petersmartin LLC | Chiropractor | 205 Burkitt Commons Ave, Nolensville, TN 37135-2970 | 2020-07-15 |
| 1902420482 | Ellen Kernodle | Chiropractor | 6708 Burnt Knob Rd, Murfreesboro, TN 37129-2634 | 2020-06-01 |
| 1992329569 | Berardi Enterprises | Chiropractor | 6450 Poplar Ave Ste 113, Memphis, TN 38119-4882 | 2020-05-30 |
| Find all providers with the same taxonomy | ||||
| City | ASHLAND CITY |
| Zip Code | 37015 |
Please comment or provide details below to improve the information on CHARLES MARK HENDRICKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.