Active NPI
Jeffrey L Bender, D.C.
- Chiropractor
- Los Lunas, NM
National Provider Identifier
1215031257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1247
- Practice address
- 209 Highway 314 NW
Los Lunas, NM 87031-6697 - Phone
- (505) 865-7610
- Fax
- (505) 865-8673
- NPI assigned
- Sep 11, 2006
- Last updated
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1247 | NM | Primary |
Addresses
Primary practice location
209 Highway 314 NW
Los Lunas, NM 87031-6697
Mailing address
PO Box 2927
Los Lunas, NM 87031-2927
Phone (505) 865-7610
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00KP19 | Other | NM | BC/BS |
| 201000668 | Other | NM | PRESBYTERIAN |
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Los Lunas, NM
- NPI 1861797342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1215031257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2927",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870312927",
"telephone_number": "505-865-7610",
"fax_number": "505-865-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 HIGHWAY 314 NW",
"city": "LOS LUNAS",
"state": "NM",
"postal_code": "870316697",
"telephone_number": "505-865-7610",
"fax_number": "505-865-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NM",
"license": "1247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00KP19",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "201000668",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Lunas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.