Organization Active NPI

Gonstead Chiropractic, PA

  • Chiropractor
  • Fort Mill, SC
National Provider Identifier
1124395397
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GONSTEAD CHIROPRACTIC, PA
Doing business as
Gonstead Chiropractic Center
Practice address
1698 Highway 160 W
Suite 140
Fort Mill, SC 29708-8032
Phone
(803) 547-9977
Fax
(803) 547-9978
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Rishikumar Marsh Benjamin, DCNPI 1659500254
Title
Doctor/Owner
Phone
(803) 547-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1698 Highway 160 W
Suite 140
Fort Mill, SC 29708-8032

Mailing address

1698 Highway 160 W
Suite 140
Fort Mill, SC 29708-8032
Phone (803) 547-9977

Other names 1

  • Gonstead Chiropractic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000739 SC Part B Supplier - Clinic/Group Practice 1456586676 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Mill, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1124395397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 140",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-9977",
            "fax_number": "803-547-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 140",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-9977",
            "fax_number": "803-547-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONSTEAD CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "RISHIKUMAR",
        "authorized_official_middle_name": "MARSH",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "803-547-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.