Active NPI
Luke Andrew Bennett, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1104118488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4183
- Practice address
- 201 McCullough Dr
Suite 160
Charlotte, NC 28262-3577 - Phone
- (304) 544-6548
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4183 | NC | Primary |
Addresses
Primary practice location
201 McCullough Dr
Suite 160
Charlotte, NC 28262-3577
Mailing address
201 McCullough Dr
Suite 160
Charlotte, NC 28262-3577
Phone (304) 544-6548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9800 Kincey Ave
Suite 155
Huntersville, NC 28078-8415
Phone (704) 516-7394
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4183 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topteam Fitness Academy, Inc. | Chiropractor | Current | Accepting new patients |
| Luke a Bennett LLC | Chiropractor | Past | Accepting new patients |
Locations
201 McCullough Dr
Ste 160
Charlotte, NC 28262
Phone (304) 544-6548
9800 Kincey Ave
Ste 155
Huntersville, NC 28078
Phone (704) 516-7394
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 and National Provider Directory roles.
-
- Chiropractor
- Charlotte, NC
- NPI 1457629313
-
- Chiropractor
- Charlotte, NC
- NPI 1720373186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362182400000",
"number": "1104118488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MCCULLOUGH DR",
"address_2": "SUITE 160",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623577",
"telephone_number": "304-544-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MCCULLOUGH DR",
"address_2": "SUITE 160",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623577",
"telephone_number": "304-544-6548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LUKE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2013-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.