Active NPI
Clifford R Benson, DC
- Chiropractor
- Carriere, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05820
- Practice address
- 6682 Highway 11 Ste 103
Carriere, MS 39426-7992 - Phone
- (601) 749-4939
- Fax
- (769) 301-1641
- NPI assigned
- Mar 30, 2007
- Last updated
- Apr 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Chiropractor | 111N00000X | 01-05820 | KS | Primary |
Addresses
Primary practice location
6682 Highway 11 Ste 103
Carriere, MS 39426-7992
Mailing address
PO Box 326
Picayune, MS 39466-0326
Phone (601) 749-4939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6682 Hwy 11
Suite 103
Carriere, MS 39426-7992
Phone (601) 749-4939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05820 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. L. Moore & Associates, Inc | Chiropractor | Current | Accepting new patients |
| D. L. Moore & Associates, Inc | Chiropractor | Current | Accepting new patients |
| Moore Chiropractic Clinic Hattiesburg PLLC | Chiropractor | Current | Accepting new patients |
| Dodson Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
6682 Highway 11
Ste 103
Carriere, MS 39426
Phone (601) 749-4939
2737 Oak Grove Rd
Hattiesburg, MS 39402
Phone (601) 336-7253
Networks
- LA PPO C-SNP
Organizations & group practices 4
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.
-
dba Moore Chiropractic Clinic
- Chiropractor
- Carriere, MS
- NPI 1235319567
-
- Chiropractor
- Hattiesburg, MS
- NPI 1750945390
-
dba Moore Chiropractic Clinic Purvis
- Chiropractor
- Purvis, MS
- NPI 1679176614
-
- Chiropractor
- Wichita, KS
- NPI 1104215268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1114047594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394660326",
"telephone_number": "601-749-4939",
"fax_number": "769-301-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6682 HIGHWAY 11 STE 103",
"city": "CARRIERE",
"state": "MS",
"postal_code": "394267992",
"telephone_number": "601-749-4939",
"fax_number": "769-301-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "CLIFFORD",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carriere, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.