Paul William Bender, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4590 Issued in MN

Practice address

119 Graystone PLZ
Suite 110
Detroit Lakes, MN 56501-3034

Phone

(218) 847-2631

Fax

(218) 847-0048

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bender Family Chiropractic PLLC

  • Chiropractor
  • Detroit Lakes, MN
  • NPI 1346236627
  Medicare reassignment NPD Authorized official
• Easy Hearing Clinic LLC

  • Audiologist
  • Brainerd, MN
  • NPI 1740387315
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073671764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLZ",
            "address_2": "SUITE 110",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013034",
            "telephone_number": "218-847-2631",
            "fax_number": "218-847-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLZ",
            "address_2": "SUITE 110",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013034",
            "telephone_number": "218-847-2631",
            "fax_number": "218-847-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becker County
• Becker County Human Services
• Benita Behm, MD
• Jennie Marie Bell, LICSW
• Bender Family Chiropractic PLLC
• Emily Bendickson
• Benefits of Light LLC
• Justin Berg
• Nicole Berg, PT, DPT
• Jordan S Bjorhus, DPT

• Chiropractor in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Chiropractor in Minnesota

• 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.