Organization Active NPI

Benningfield & Associates, LLC

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1154429744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BENNINGFIELD & ASSOCIATES, LLC
Practice address
1524 W Glen Ave
Peoria, IL 61614-4692
Phone
(309) 692-6800
Fax
(309) 692-4478
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert C Benningfield, DCNPI 1437121258
Title
Owner
Phone
(309) 692-6800

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

1524 W Glen Ave
Peoria, IL 61614-4692

Mailing address

1524 W Glen Ave
Peoria, IL 61614-4692
Phone (309) 692-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000508 IL Part B Supplier - Clinic/Group Practice 6709879794 Receives reassigned benefits from 6 practitioners
Practice locations: Peoria, IL; Princeville, IL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: drchad@bal0001.direct.chirotouch.md
  • Direct secure messaging: drbob@bal0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 6

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154429744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144692",
            "telephone_number": "309-692-6800",
            "fax_number": "309-692-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144692",
            "telephone_number": "309-692-6800",
            "fax_number": "309-692-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNINGFIELD & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNINGFIELD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-692-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.