David Bentz LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1954 Issued in WI

Legal business name

DAVID BENTZ LLC

Practice address

406 Jackson St
La Crosse, WI 54601-5321

Phone

(608) 784-2255

NPI assigned

Mar 2, 2017

Last updated

Mar 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David BentzNPI 1831190974

Title

Doctor

Phone

(608) 784-2255

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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.

• David Bentz

  • Chiropractor
  • La Crosse, WI
  • NPI 1831190974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1093255572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 JACKSON ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015321",
            "telephone_number": "608-784-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 JACKSON ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015321",
            "telephone_number": "608-784-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BENTZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "BENTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "608-784-2255"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "8Z584BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Daul
• Catherine M. Daus, RD
• Megan Marie Daveau, NP
• Polly A Davenport-Fortune, APNP
• Thomas Davey
• Lacey Marie David, PHARMD
• Jill E Davidson, MD
• George J Davies, PT
• Breanna Mona Davis
• Bruce K Davis, DDS

• Chiropractor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.