Individual provider Active NPI

Richard David Benson, BC-HIS

  • Hearing Instrument Specialist
  • Chelsea, MI
National Provider Identifier
1063631992
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501002979 Issued in MI
Practice address
134 W Middle St
Suite a
Chelsea, MI 48118-1515
Phone
(734) 475-9109
Fax
(734) 475-8090
NPI assigned
Apr 25, 2007
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 3501002979 MI Primary

Addresses

Primary practice location

134 W Middle St
Suite a
Chelsea, MI 48118-1515

Mailing address

134 W Middle St
Suite a
Chelsea, MI 48118-1515
Phone (734) 475-9109

Other identifiers 1

IdentifierTypeStateIssuer
540H114510OtherMIMEDICAL SUPPLIER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3501002979MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hearing Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1063631992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W MIDDLE ST",
            "address_2": "SUITE A",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181515",
            "telephone_number": "734-475-9109",
            "fax_number": "734-475-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MIDDLE ST",
            "address_2": "SUITE A",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181515",
            "telephone_number": "734-475-9109",
            "fax_number": "734-475-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501002979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SUPPLIER #",
            "identifier": "540H114510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.