Organization Active NPI

Maximum Performance Chiropractic, Inc.

  • Chiropractor
  • Rogers, AR
National Provider Identifier
1013144542
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15621 Issued in AR
Legal business name
MAXIMUM PERFORMANCE CHIROPRACTIC, INC.
Practice address
5430 Pinnacle Point Dr
Suite 103
Rogers, AR 72758-1492
Phone
(479) 268-6080
Fax
(479) 268-6083
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Scott Glenn Bennington, D.C.
Title
President
Phone
(479) 268-6080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15621 AR Primary

Addresses

Primary practice location

5430 Pinnacle Point Dr
Suite 103
Rogers, AR 72758-1492

Mailing address

5430 Pinnacle Point Dr
Suite 103
Rogers, AR 72758-1492
Phone (479) 268-6080

National Provider Directory

National Provider Directory

Locations

5430 W Pinnacle Pointe Dr
#1
Rogers, AR 72758
Phone (479) 268-6080

Practitioners & affiliated clinicians

Practitioners 1

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": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1013144542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 PINNACLE POINT DR",
            "address_2": "SUITE 103",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581492",
            "telephone_number": "479-268-6080",
            "fax_number": "479-268-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 PINNACLE POINT DR",
            "address_2": "SUITE 103",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581492",
            "telephone_number": "479-268-6080",
            "fax_number": "479-268-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PERFORMANCE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "BENNINGTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-268-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.