Organization Active NPI

Bennett Chiropractic, LLC

  • Chiropractor
  • Smyrna, TN
National Provider Identifier
1053547729
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2147 Issued in TN
Legal business name
BENNETT CHIROPRACTIC, LLC
Practice address
298 Sam Ridley Pkwy E Ste 170
Smyrna, TN 37167-4396
Phone
(615) 751-1001
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Amy Lynn Bennett, D.C.NPI 1992855399
Title
Owner
Phone
(615) 751-1001

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 2147 TN Primary

Addresses

Primary practice location

298 Sam Ridley Pkwy E Ste 170
Smyrna, TN 37167-4396

Mailing address

107 Benefield Dr
Smyrna, TN 37167-3176
Phone (615) 751-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000820 TN Part B Supplier - Clinic/Group Practice 4789736687 Receives reassigned benefits from 1 practitioner
Practice locations: Smyrna, TN

National Provider Directory

National Provider Directory

Locations

10541 Cedar Grove Rd
Ste 140
Smyrna, TN 37167
Phone (615) 751-1001

298 E Sam Ridley Pkwy
Ste 170
Smyrna, TN 37167
Phone (615) 751-1001

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": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1053547729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BENEFIELD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673176",
            "telephone_number": "615-751-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 SAM RIDLEY PKWY E STE 170",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674396",
            "telephone_number": "615-751-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-751-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.