Individual provider Active NPI

Lauren Hunter Benakovich, D.C.

  • Chiropractor
  • Thorntown, IN
National Provider Identifier
1144406224
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002369A Issued in IN
Practice address
10725 West State Road 47
Thorntown, IN 46071
Phone
(317) 617-3542
Fax
(317) 245-8100
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002369A IN Primary

Addresses

Primary practice location

10725 West State Road 47
Thorntown, IN 46071

Mailing address

10725 West State Road 47
Thorntown, IN 46071
Phone (317) 617-3542

Other names 1

  • Lauren Hunter Montieth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08002369AINMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1144406224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 WEST STATE ROAD 47",
            "city": "THORNTOWN",
            "state": "IN",
            "postal_code": "46071",
            "telephone_number": "317-617-3542",
            "fax_number": "317-245-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 WEST STATE ROAD 47",
            "city": "THORNTOWN",
            "state": "IN",
            "postal_code": "46071",
            "telephone_number": "317-617-3542",
            "fax_number": "317-245-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAKOVICH",
        "first_name": "LAUREN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002369A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MONTIETH",
            "middle_name": "HUNTER",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thorntown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.