DR. DAVID R HENDRICKS M.D.
NPI 1013066406
Internal Medicine - Addiction Medicine in Traverse City, MI

Q: What is David Hendricks's NPI number?

The NPI number for David Hendricks is 1013066406. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Q: What is David Hendricks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for David Hendricks was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 09, 2007

153 1/2 E FRONT ST, TRAVERSE CITY, MI 49684(231) 941-6670(231) 941-6675 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2021, Mar 28, 2017 (2 updates tracked since 2017).

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About Dr. David R Hendricks M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID R HENDRICKS M.D. (NPI 1013066406) is an individual addiction medicine provider in Traverse City, Michigan, licensed in Michigan (4301038246) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013066406

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameDR. DAVID R HENDRICKSCredential: M.D.

Location Address153 1/2 E FRONT STTraverse City, MI 49684-5729

Mailing Address12100 S Benzonia Trl, Suite DEmpire, MI 49630-8503 · (231) 326-3002 · Fax (231) 326-3026

Phone(231) 941-6670

Fax(231) 941-6675

Sole ProprietorNo

Enumeration DateJanuary 9, 2007

Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1013066406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in MI · 4301038246

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

153 1/2 E FRONT ST, Traverse City, MI 49684

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Other Identifiers 2

Other11-0-28-1081-1MI · Blue Cross Blue Shield

Medicaid4858998MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Hendricks's NPI number?

The NPI number for David Hendricks is 1013066406. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is David Hendricks located?

David Hendricks practices at 153 1/2 E Front St, Traverse City, MI 49684. The listed phone number is (231) 941-6670.

What is David Hendricks's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for David Hendricks was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.