Active NPI
Kenneth Benjamin
- Chiropractor
- North Miami, FL
National Provider Identifier
1215419536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12552
- Practice address
- 12550 Biscayne Blvd Ste 404
North Miami, FL 33181-2544 - Phone
- (305) 949-6740
- Fax
- (305) 949-6742
- NPI assigned
- Sep 4, 2018
- 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 | CH12552 | FL | Primary |
Addresses
Primary practice location
12550 Biscayne Blvd Ste 404
North Miami, FL 33181-2544
Mailing address
1320 SW 9TH Ave
Deerfield Beach, FL 33441-6205
Phone (954) 592-1442
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12552 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Clinics of South Florida, PL | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- North Miami, FL
- NPI 1710222104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1215419536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 SW 9TH AVE",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334416205",
"telephone_number": "954-592-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 BISCAYNE BLVD STE 404",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331812544",
"telephone_number": "305-949-6740",
"fax_number": "305-949-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.