Individual provider Active NPI

Eric Anthony Benevento, D.C.

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1194152306
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32738 Issued in CA
Practice address
2545 E Bidwell St Ste 130
Folsom, CA 95630-6443
Phone
(916) 983-7664
Fax
(916) 983-1506
NPI assigned
Oct 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32738 CA Primary

Addresses

Primary practice location

2545 E Bidwell St Ste 130
Folsom, CA 95630-6443

Mailing address

2545 E Bidwell St Ste 130
Folsom, CA 95630-6443
Phone (916) 276-0432

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
32738CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1194152306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 E BIDWELL ST STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306443",
            "telephone_number": "916-276-0432",
            "fax_number": "916-983-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 E BIDWELL ST STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306443",
            "telephone_number": "916-983-7664",
            "fax_number": "916-983-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEVENTO",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.