JACK ALLEN HENDRICKS
NPI 1265116560
Chiropractor in Cincinnati, OH
About Jack Allen Hendricks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK ALLEN HENDRICKS (NPI 1265116560) is an individual chiropractor in Cincinnati, Ohio, licensed in Ohio (2367) and active in the NPI registry since June 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Allen Hendricks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jack Hendricks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45255
- Reassigned Medicare billing, Ohio enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jack Hendricks's NPI number?
The NPI number for Jack Hendricks is 1265116560. It was assigned to this individual provider in the NPPES registry on June 15, 2023.
Where is Jack Hendricks located?
Jack Hendricks practices at 1228 Nordica Ln, Cincinnati, OH 45255. The listed phone number is (513) 474-9377.
What is Jack Hendricks's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jack Hendricks enrolled in Medicare?
Yes. Jack Hendricks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jack Hendricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Hendricks reassigns Medicare benefits to Clearly Chiropractic Inc (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Hendricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Hendricks was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jack Allen Hendricks · NPI 1265116560
Chiropractor provider in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since June 15, 2023.
## Identity
- **NPI:** 1265116560 (Entity type: Individual)
- **Enumerated:** June 15, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2367 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1228 NORDICA LN, Cincinnati, OH 45255-3118
- **Phone:** (513) 474-9377
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Clearly Chiropractic Inc (NPI 1861776577, Cincinnati, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1265116560) · Data from the CMS NPPES public registry.