Timothy C Bennett, D.O.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1372 Issued in SC

Practice address

3901 Rivers Ave
N Charleston, SC 29405-7042

Phone

(843) 744-6501

Fax

(843) 747-6858

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bennett Chiropractic Center

  • Chiropractor
  • N Charleston, SC
  • NPI 1033279567
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073673570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RIVERS AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294057042",
            "telephone_number": "843-744-6501",
            "fax_number": "843-747-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RIVERS AVE",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294057042",
            "telephone_number": "843-744-6501",
            "fax_number": "843-747-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "D.O.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald B Basley
• Thaddeus John Bell, MD
• Donald E Bellebaum, D.D.S.
• Bennett Chiropractic Center
• Antionette Akia Bennett, MD
• Thomas Richard Bolt, MD
• Bon Secours St Francis Xavier Hospital, Inc.
• Bon Secours St. Francis Xavier Hosptial, Inc.
• Mary Heather Bond, ATC
• Ronald Frank Boneberg

• All providers in N Charleston, SC
• Chiropractor in South Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.