Benjamin J Tenpas, DC
Individual provider Active NPI Chiropractor · Park Falls, WI
NPI 1285196162 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1285196162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5639 (WI)
- Practice address
- 110 2ND Ave N
Park Falls, WI 54552-1214 - Phone
- (715) 762-2950
- Fax
- (715) 762-3561
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Lakes Community Health Center Inc
Practice addresses (Care Compare)
7665 US Hwy 2
Iron River, WI 54847-4690
Phone (715) 372-5001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231023001954 | WI | Practitioner - Chiropractic | 2365784519 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102 | ND | MD | Registered Dietitian |
| 5639 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Current |
Accepting new patients | |
| The Lakes Community Health Center, Inc | Past | Accepting new patients |
Locations
300 Main St W
Ashland, WI 54806
Phone (715) 685-2200
15735 W US Highway 63
Hayward, WI 54843
7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001
110 2nd Ave N
Park Falls, WI 54552
Phone (715) 762-2950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1102 | ND | |
| Chiropractor | 111N00000X | 5639 | WI | Yes |
Addresses
Primary practice location
110 2ND Ave N
Park Falls, WI 54552-1214
Mailing address
15735 W US Highway 63
Hayward, WI 54843-6475
Phone (888) 834-4551
NPI Registry JSON
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1285196162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15735 W US HIGHWAY 63",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548436475",
"telephone_number": "888-834-4551",
"fax_number": "715-598-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND AVE N",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521214",
"telephone_number": "715-762-2950",
"fax_number": "715-762-3561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENPAS",
"first_name": "BENJAMIN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "1102",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.