Active NPI
Charles Eugene Bennett, D.C.
- Chiropractor
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04934
- Practice address
- 1033 East 21St Street
Suite 101 Building 100
Wichita, KS 67206-3544 - Phone
- (316) 315-0220
- NPI assigned
- Aug 1, 2006
- 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 | 01-04934 | KS | Primary |
Addresses
Primary practice location
1033 East 21St Street
Suite 101 Building 100
Wichita, KS 67206-3544
Mailing address
1013 Wisteria Dr
Derby, KS 67037-3575
Phone (316) 361-0140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04934 | KS | MD | Professional Counselor |
| 01-04934 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Resource Services Inc Public Health and Wellness Center | Current | Accepting new patients | |
| Remington Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
| Remington Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
Locations
2001 W Broadway
Ste 11
Louisville, KY 40203
Phone (502) 774-8338
2001 W Broadway
Ste 4
Louisville, KY 40203
2001 W Broadway
Ste 413
Louisville, KY 40203
2009 W Broadway
Louisville, KY 40203
Phone (502) 276-1273
2001 W Broadway
Ste 13
Louisville, KY 40203
Phone (502) 276-1273
Organizations & group practices 4
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
- Louisville, KY
- NPI 1275875825
-
- Health Service Clinic/Center
- Louisville, KY
- NPI 1437969300
-
- Chiropractor
- Wichita, KS
- NPI 1629026075
-
- Chiropractor
- Wichita, KS
- NPI 1992010870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275540429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 WISTERIA DR",
"city": "DERBY",
"state": "KS",
"postal_code": "670373575",
"telephone_number": "316-361-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 EAST 21ST STREET",
"address_2": "SUITE 101 BUILDING 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063544",
"telephone_number": "316-315-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "CHARLES",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.