Active NPI
Justin John Behnke, DC
- Chiropractor
- Clive, IA
National Provider Identifier
1215404157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 094097
- Practice address
- 12931 University Ave Ste 103
Clive, IA 50325-8282 - Phone
- (515) 223-9896
- NPI assigned
- Oct 29, 2018
- Last updated
- Oct 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 094097 | IA | Primary |
Addresses
Primary practice location
12931 University Ave Ste 103
Clive, IA 50325-8282
Mailing address
12931 University Ave Ste 103
Clive, IA 50325-8282
Phone (515) 223-9896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12931 University Ave
Suite 103
Clive, IA 50325-8282
Phone (515) 223-9896
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West End Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
12931 University Ave
Ste 103
Clive, IA 50325
Phone (515) 223-9896
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1215404157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12931 UNIVERSITY AVE STE 103",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258282",
"telephone_number": "515-223-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12931 UNIVERSITY AVE STE 103",
"city": "CLIVE",
"state": "IA",
"postal_code": "503258282",
"telephone_number": "515-223-9896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHNKE",
"first_name": "JUSTIN",
"middle_name": "JOHN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "094097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.