Benjamin Matthew Phillips, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16324 Issued in AR

Practice address

2109 W Huntsville Ave
Springdale, AR 72762-2833

Phone

(479) 751-7771

Fax

(479) 751-8586

NPI assigned

Feb 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benjamin M. Phillips DC PA

  • Chiropractor
  • Springdale, AR
  • NPI 1720705510
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1114671468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 W HUNTSVILLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622833",
            "telephone_number": "479-751-7771",
            "fax_number": "479-751-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BENJAMIN",
        "middle_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280113718",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Petrino, M.D.
• Lily Jo Pettypiece
• Jacob Paul Phaneuf, MHPP
• Pharmacy Operations, Inc
• Lesley Phillips-Reed, CRNA
• Justin Wayne Phillips, LPC
• Megan Christine Phillips, PHARM D
• Rachel Phillips
• Sarah Marie Phillips, LPC
• Jodi N Phipps, LPN

• Chiropractor in Springdale, AR
• Providers in Springdale, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.