HENDRICKS CHIROPRACTIC (NPI# 1790732642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790732642 |
| Entity Type | Organization |
| Organization Name | HENDRICKS CHIROPRACTIC |
| Practice Address |
2901 Union Road 2nd Floor St Louis MO 63125 |
| Practice Telephone | 3148922598 |
| Practice Fax Number | 3148940157 |
| Mailing Telephone | 3148922598 |
| Mailing Fax Number | 3148940157 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS DIANE MARIE BOYER (DR ASSISTANT) |
| Authorized Official Telephone | 3148922598 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 003657 | MO | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HENDRICKS CHIROPRACTIC, LLC | 2505 Portland Rd Ste 100, Newberg, OR 97132 |
| Street Address |
2901 UNION ROAD 2ND FLOOR |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699869461 | Felix Emmanuel Herrera | Family Medicine | 2901 Union Road, Ste 100, St Louis, MO 63125 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 |
|---|---|---|---|---|
| 1659582104 | John Michael Bott | Chiropractor | 8787 Big Bend, St Louis, MO 63119 | 2007-05-25 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1720108004 | David Gerard Hartmann | Chiropractor | 5226 S Lindbergh Blvd, St Louis, MO 63126-3519 | 2007-03-30 |
| 1912038308 | Richard Wayne Cranwell | Chiropractor | 11705 Gravois Road, St Louis, MO 63127 | 2007-03-08 |
| 1043340482 | Paulette Chiropractic and Acupuncture | Chiropractor | 6341 Clayton Road, St Louis, MO 63117 | 2007-03-06 |
| 1720122401 | Devereux Chiropractic & Acupuncture LLC | Chiropractor | 4500 Telegraph, Suite 104, St Louis, MO 63129 | 2007-02-16 |
| 1942352109 | Mary Patricia Ganley | Chiropractor | 3470 Hampton Ave, Suite 102, St Louis, MO 63139-1936 | 2007-01-17 |
| 1215089867 | Keith D Berger | Chiropractor | 8135 Delmar Blvd, St Louis, MO 63130-3729 | 2007-01-16 |
| 1932266509 | David Kurt Wipperman | Chiropractor | 11639 Studt Avenue, St Louis, MO 63141-7015 | 2007-01-03 |
| 1144398215 | Walter J Foland Jr. | Chiropractor | 4582 Telegraph Road, St Louis, MO 63129-3318 | 2006-11-30 |
| Find all providers in ST LOUIS | ||||
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| 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.