Organization Active NPI

Benningfield Family Chiropractic PLLC

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1003985722
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BENNINGFIELD FAMILY CHIROPRACTIC PLLC
Practice address
2785 Charlotte Hwy 21
Suite 23
Mooresville, NC 28117-9510
Phone
(704) 799-8060
Fax
(704) 799-8131
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Robert Scott Benningfield, DCNPI 1891702221
Title
President
Phone
(704) 799-8060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2785 Charlotte Hwy 21
Suite 23
Mooresville, NC 28117-9510

Mailing address

2785 Charlotte Hwy 21
Suite 23
Mooresville, NC 28117-9510
Phone (704) 799-8060

Other names 1

  • Benningfield Chiropractic PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000669 NC Part B Supplier - Clinic/Group Practice 9739247248 Receives reassigned benefits from 2 practitioners
Practice locations: Mooresville, NC

National Provider Directory

National Provider Directory

Locations

2785 Charlotte Hwy
Ste 23
Mooresville, NC 28117
Phone (704) 799-8060

2785 Charlotte Hwy
Ste 23
Mooresville, NC 28117
Phone (704) 799-8060

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1003985722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 CHARLOTTE HWY 21",
            "address_2": "SUITE 23",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179510",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 CHARLOTTE HWY 21",
            "address_2": "SUITE 23",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179510",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNINGFIELD FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "BENNINGFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-799-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benningfield Chiropractic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.