Active NPI
Donta Sherrell Bennett, DC
- Sports Physician Chiropractor
- Duncanville, TX
National Provider Identifier
1225409626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 13039
- Practice address
- 726 S Cockrell Hill Rd
Duncanville, TX 75137-2620 - Phone
- (469) 727-7246
- NPI assigned
- Oct 12, 2015
- Last updated
- Oct 12, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 13039 | TX | Primary |
Addresses
Primary practice location
726 S Cockrell Hill Rd
Duncanville, TX 75137-2620
Mailing address
2818 Wimbledon CT Apt B
Garland, TX 75041-2634
Phone (214) 335-2633
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 |
|---|---|---|---|
| 13039 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1225409626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 WIMBLEDON CT APT B",
"city": "GARLAND",
"state": "TX",
"postal_code": "750412634",
"telephone_number": "214-335-2633",
"fax_number": "469-727-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 S COCKRELL HILL RD",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751372620",
"telephone_number": "469-727-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DONTA",
"middle_name": "SHERRELL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "13039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duncanville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.