Benevida Health and Wellness Center
Organization Active NPI Chiropractor · Kyle, TX
NPI 1013328517 · NPPES record last updated May 19, 2014
Key facts
- NPI
- 1013328517
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11596 (TX)
- Legal business name
- BENEVIDA HEALTH AND WELLNESS CENTER
- Practice address
- 4100 Everett Dr
Suite 200
Kyle, TX 78640-6146 - Phone
- (512) 268-2768
- NPI assigned
- May 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Jeanne Lain
- Title
- Owner
- Phone
- (512) 268-2768
Practitioners 2
-
Carter Bell, D.C.
-
Emily Jeanne Lain, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150226001330 | TX | Part B Supplier - Clinic/Group Practice | 5294051850 |
Receives reassigned benefits from 2 practitioners Practice locations: Kyle, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 11596 | TX | Yes |
| Acupuncturist |
171100000X |
Addresses
Primary practice location
4100 Everett Dr
Suite 200
Kyle, TX 78640-6146
Mailing address
4100 Everett Dr
Suite 200
Kyle, TX 78640-6146
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.