Individual provider Active NPI

Chas Michael Bennett, D.C., B.S.

  • Chiropractor
  • Midland, MI
National Provider Identifier
1063423671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009215 Issued in MI
Practice address
4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387
Phone
(989) 832-7535
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009215 MI Primary

Addresses

Primary practice location

4604 N Saginaw Rd
Suite a
Midland, MI 48640-2387

Mailing address

8745 Midland Rd
Freeland, MI 48623-8711
Phone (770) 634-3977

Other identifiers 1

IdentifierTypeStateIssuer
4892603MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061030000022 MI Practitioner - Chiropractic 9739186081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

807 W Midland Rd
Auburn, MI 48611-9200
Phone (989) 662-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Family Chiropractic, PLLC Chiropractor CurrentSince Feb 9, 2009 Accepting new patients
Pleasant Chiropractic PC Chiropractor Past Accepting new patients
Rodnick Chiropractic Consultants PC Chiropractor Past Accepting new patients

Locations

807 W Midland Rd
Auburn, MI 48611
Phone (989) 662-4000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063423671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 MIDLAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238711",
            "telephone_number": "770-634-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 N SAGINAW RD",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402387",
            "telephone_number": "989-832-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4892603",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.