Sean Ray Bennington, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

T01901 Issued in KS

Practice address

11542 W. 95TH St.
Overland Park, KS 66214

Phone

(913) 284-6769

NPI assigned

May 21, 2008

Reactivated

Aug 23, 2023

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hernando Healthcare Associates PAGroup PAC ID 6406844133, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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.

• Hernando Healthcare Associates PA

  • Chiropractor
  • Spring Hill, FL
  • NPI 1477753895
  Medicare reassignment Care Compare group NPD
• Cornerstone Family Wellness Center, LLC

  • Chiropractor
  • Overland Park, KS
  • NPI 1699079855
  NPD Authorized official
• Cornerstone Integrated Healthcare, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1215282272
  NPD Authorized official

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1124285622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11542 W. 95TH ST.",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-284-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11542 W. 95TH ST.",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-284-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGTON",
        "first_name": "SEAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2023-08-23",
        "certification_date": "2020-08-03",
        "deactivation_date": "2020-08-03",
        "reactivation_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "T01901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41480018",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Bennett, LSCSW
• Jessica Marie Bennett, BCBA, LBA
• Kyla Collece Bennett, LCSW, LSCSW
• Stephanie Bennett
• Timothy L. Bennett, M.D.
• Elizabeth Benoit, OTR/L
• Amy Benson
• Richard Leland Benson, PHD
• Russell Lee Benson, MD
• Amy E Bentson, RPT

• All providers in Overland Park, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.