Organization Active NPI

Ian S Benison D.C., P.a.

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1043511405
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7314 Issued in FL
Legal business name
IAN S BENISON D.C., P.A.
Practice address
9851 S Military TRL
Suite C
Boynton Beach, FL 33436-3237
Phone
(561) 731-4457
Fax
(561) 732-5020
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Ian S Benison, D.C.NPI 1417922998
Title
Owner/President
Phone
(561) 731-4457

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
Chiropractor 111N00000X CH7314 FL Primary

Addresses

Primary practice location

9851 S Military TRL
Suite C
Boynton Beach, FL 33436-3237

Mailing address

9851 S Military TRL
Suite C
Boynton Beach, FL 33436-3237
Phone (561) 731-4457

Other identifiers 1

IdentifierTypeStateIssuer
E0177OtherFLMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118000513 FL Part B Supplier - Clinic/Group Practice 8022204981 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Locations

9851 S Military Trl
Ste C
Boynton Beach, FL 33436
Phone (561) 731-4457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1043511405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL",
            "address_2": "SUITE C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363237",
            "telephone_number": "561-731-4457",
            "fax_number": "561-732-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL",
            "address_2": "SUITE C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363237",
            "telephone_number": "561-731-4457",
            "fax_number": "561-732-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN S BENISON D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "BENISON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-731-4457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "E0177",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.