Clark Edward Benson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.010824 Issued in IL

Practice address

685 S Chestnut St
Platteville, WI 53818-3439

Phone

(608) 348-7771

Fax

(608) 348-7773

NPI assigned

Dec 20, 2006

Last updated

Aug 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spinal Institute of Health LLC

  • Health Service Clinic/Center
  • Platteville, WI
  • NPI 1740516418
  Medicare reassignment Authorized official
• Upper Cervical Center, Inc.

  dba Upper Cervical Health Centers of America

  • Clinic/Center
  • Schaumburg, IL
  • NPI 1558527929
  NPD (past) Authorized official

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1083778575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 S CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183439",
            "telephone_number": "608-348-7771",
            "fax_number": "608-348-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 S CHESTNUT ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183439",
            "telephone_number": "608-348-7771",
            "fax_number": "608-348-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "CLARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010824",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4542-012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Basten
• Dianna Lea Bearse, D.O.
• Jolene Kaye Beebe, R.N.
• Jenny Belken
• Kari Kaye-Cattle Bell, LCSW, LMSW
• Joanne Marie Beraldi, MSW
• Dallas Karl Bernhardt
• Cody Bertram
• Catherine A Blume, APNP
• Sarah Blume, RN

• Chiropractor in Platteville, WI
• Providers in Platteville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.