Active NPI
John Andrew Benson, D.C.
- Chiropractor
- Cloquet, MN
National Provider Identifier
1245259738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2484
- Practice address
- 807 Cloquet Ave
Suite 9
Cloquet, MN 55720-1675 - Phone
- (218) 879-6049
- NPI assigned
- Jul 18, 2006
- Last updated
- Mar 21, 2013
- 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 | 2484 | MN | Primary |
Addresses
Primary practice location
807 Cloquet Ave
Suite 9
Cloquet, MN 55720-1675
Mailing address
807 Cloquet Ave
Suite 9
Cloquet, MN 55720-1675
Phone (218) 879-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 671028000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050323000500 | MN | Practitioner - Chiropractic | 5698721603 | Practice locations: Cloquet, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
807 Cloquet Ave
Cloquet, MN 55720-1675
Phone (218) 879-6049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloquet Eyecare and Contact Lens Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Cloquet, MN
- NPI 1194973354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1245259738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 CLOQUET AVE",
"address_2": "SUITE 9",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201675",
"telephone_number": "218-879-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 CLOQUET AVE",
"address_2": "SUITE 9",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201675",
"telephone_number": "218-879-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "JOHN",
"middle_name": "ANDREW",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "671028000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cloquet, MN
- Paul D Bartlam, DDS
- Be Still Services (Coordination Counseling)
- Pamela Beardslee, PHARMD
- Taylor Beckenbach, LMFT
- Grace Bennett, LICSW
- Joseph Berdecia-Rodriguez, MD-PHD
- Megan Berndt, DC
- Lindsie Biggerstaff, M.A. CCC-SLP
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Medical Care Cloquet)
- Birch & Pine Counseling PLLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.