Active NPI
Timothy S Benson, D.C.
- Chiropractor
- Fort Madison, IA
National Provider Identifier
1013969724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05520
- Practice address
- 2150 302ND Ave
Fort Madison, IA 52627-9708 - Phone
- (319) 372-4204
- Fax
- (319) 376-1204
- NPI assigned
- May 17, 2006
- Last updated
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05520 | IA | Primary |
Addresses
Primary practice location
2150 302ND Ave
Fort Madison, IA 52627-9708
Mailing address
2150 302ND Ave
Fort Madison, IA 52627-9708
Phone (319) 372-4204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066993 | Medicaid | IA | |
| 45997 | Other | IA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2150 302ND Ave
Fort Madison, IA 52627-9708
Phone (319) 372-4204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Fort Madison, IA
- NPI 1891076113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1013969724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 302ND AVE",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279708",
"telephone_number": "319-372-4204",
"fax_number": "319-376-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 302ND AVE",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279708",
"telephone_number": "319-372-4204",
"fax_number": "319-376-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "TIMOTHY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05520",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0066993",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "45997",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Madison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.