Individual provider Active NPI

Vanessa Nichola Benton, D.C.

  • Chiropractor
  • Brandon, FL
National Provider Identifier
1073844684
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10447 Issued in FL
Practice address
500 Vonderburg Dr Ste 105
Brandon, FL 33511-5968
Phone
(813) 922-2898
Fax
(813) 699-9942
NPI assigned
Jan 21, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10447 FL Primary

Addresses

Primary practice location

500 Vonderburg Dr Ste 105
Brandon, FL 33511-5968

Mailing address

PO Box 1791
Riverview, FL 33568-1791
Phone (813) 922-2898

Other practice location 1

955 E Del Webb Blvd Ste 101
Sun City Center, FL 33573-6670
Phone (813) 633-3332

Other practice location 2

10209 Gibsonton Dr
Riverview, FL 33578-5310
Phone (813) 922-2898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411001437 FL Practitioner - Chiropractic 8123240710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

955 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6670
Phone 81363333322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Services Physiotherapy & Wellness Center CurrentSince Mar 3, 2024 Accepting new patients
Preferred Care Physiotherapy Chiropractic & Weightloss Center CurrentSince Aug 23, 2014 Accepting new patients

Locations

500 Vonderburg Dr
Ste 105
Brandon, FL 33511
Phone (813) 922-2898

955 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 633-3332

Organizations & group practices 2

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073844684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1791",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335681791",
            "telephone_number": "813-922-2898",
            "fax_number": "813-699-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 105",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115968",
            "telephone_number": "813-922-2898",
            "fax_number": "813-699-9942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "955 E Del Webb Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736670",
            "country_code": "US",
            "telephone_number": "813-633-3332",
            "fax_number": "813-633-0564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10209 Gibsonton Dr",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335785310",
            "country_code": "US",
            "telephone_number": "813-922-2898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "VANESSA",
        "middle_name": "NICHOLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.