Organization Active NPI

Benson Chiropractic, PC

Doing business as Chiropractic Professionals of Columbia

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1063688927
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
010294 Issued in NY
Legal business name
BENSON CHIROPRACTIC, PC
Doing business as
Chiropractic Professionals of Columbia
Practice address
1301 Elmwood Ave
Columbia, SC 29201-2107
Phone
(803) 888-6221
Fax
(803) 888-6221
NPI assigned
May 1, 2008
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Norbert Wayne Benson II
Title
Delegated Official
Phone
(803) 667-8332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 018049 NY
Chiropractor 111N00000X 010294 NY Primary

Addresses

Primary practice location

1301 Elmwood Ave
Columbia, SC 29201-2107

Mailing address

1301 Elmwood Ave
Columbia, SC 29201-2107
Phone (803) 888-6221

Other identifiers 16

IdentifierTypeStateIssuer
C10294-9BOtherNYNEW YORK STATE WORKER'S COMPENSATION BOARD
629920OtherNYUNITED HEALTHCARE
P020010849OtherNYBC/BS
629920OtherNYAETNA
7538368OtherNYUNITED HEALTHCARE
P010111294OtherNYBLUE CHOICE
X8L55OtherNYEMPIRE PLAN
629921OtherNYAMERICAN CHIROPRACTIC NETWORK
835773OtherNYMANAGED PHYSICAL NETWORK
C10849-OBOtherNYNEW YORK STATE WORKER'S COMPENSATION BOARD
P010010849OtherNYBLUE CHOICE
175965ANOtherNYPREFERRED CARE
7538368OtherNYAETNA
P020111294OtherNYBC/BS
000980590001OtherNYPRISM
113490ANOtherNYPREFERRED CARE

Other names 1

  • Chiropractic Professionals of Columbia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180411000338 SC Part B Supplier - Clinic/Group Practice 8224066303 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

190 Clinton St
Avon, NY 14414
Phone (585) 226-2292

4029 W Henrietta Rd
Rochester, NY 14623
Phone (585) 321-3200

1301 Elmwood Ave
Columbia, SC 29201
Phone (803) 667-8332

Practitioners & affiliated clinicians

Practitioners 7

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1063688927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012107",
            "telephone_number": "803-888-6221",
            "fax_number": "803-888-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ELMWOOD AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012107",
            "telephone_number": "803-888-6221",
            "fax_number": "803-888-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "BENSON II",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "803-667-8332"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "018049",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "010294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE WORKER'S COMPENSATION BOARD",
            "identifier": "C10294-9B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "629920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P020010849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "629920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7538368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010111294",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN",
            "identifier": "X8L55",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NETWORK",
            "identifier": "629921",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED PHYSICAL NETWORK",
            "identifier": "835773",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE WORKER'S COMPENSATION BOARD",
            "identifier": "C10849-OB",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010010849",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "175965AN",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7538368",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P020111294",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM",
            "identifier": "000980590001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "113490AN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Professionals of Columbia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chiropractic Professionals of Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.