Active NPI
Bennett Chiropractic Ctr PA
- Chiropractor
- Caldwell, ID
National Provider Identifier
1134315914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA532
- Legal business name
- BENNETT CHIROPRACTIC CTR PA
- Practice address
- 923 Grant St
Caldwell, ID 83605 - Phone
- (208) 454-9000
- Fax
- (208) 454-9092
- NPI assigned
- Sep 14, 2007
- Last updated
- Sep 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy R Bennett, DC
- Title
- Owner
- Phone
- (208) 454-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA532 | NU | Primary |
Addresses
Primary practice location
923 Grant St
Caldwell, ID 83605
Mailing address
923 Grant St
Caldwell, ID 83605
Phone (208) 454-9000
Other names 1
- Kathy R Bennett DC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Caldwell, ID
- NPI 1720107170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1134315914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 GRANT ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83605",
"telephone_number": "208-454-9000",
"fax_number": "208-454-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 GRANT ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83605",
"telephone_number": "208-454-9000",
"fax_number": "208-454-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNETT CHIROPRACTIC CTR PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-14",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-454-9000",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": "CHIA532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kathy R Bennett DC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.