Organization Active NPI

Bence Chiropractic Wellness Center, PLLC

  • Chiropractor
  • Sterling Heights, MI
National Provider Identifier
1215205000
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005267 Issued in MI
Legal business name
BENCE CHIROPRACTIC WELLNESS CENTER, PLLC
Practice address
39573 Mound Rd
Sterling Heights, MI 48310-2744
Phone
(586) 978-9900
Fax
(586) 978-9908
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Pavel Bence, D.C., C.C.W.P.NPI 1891887337
Title
Owner
Phone
(586) 978-9900

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
Chiropractor 111N00000X 2301005267 MI Primary

Addresses

Primary practice location

39573 Mound Rd
Sterling Heights, MI 48310-2744

Mailing address

39573 Mound Rd
Sterling Heights, MI 48310-2744
Phone (586) 978-9900

Other identifiers 1

IdentifierTypeStateIssuer
4285974MedicaidMI

National Provider Directory

National Provider Directory

Locations

39573 Mound Rd
Sterling Heights, MI 48310
Phone (586) 978-9900

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1215205000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39573 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102744",
            "telephone_number": "586-978-9900",
            "fax_number": "586-978-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39573 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102744",
            "telephone_number": "586-978-9900",
            "fax_number": "586-978-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCE CHIROPRACTIC WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "BENCE",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-978-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.W.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4285974",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.