Active NPI
Lawrence J Bentvena Jr., DC
- Chiropractor
- Lantana, FL
National Provider Identifier
1285645234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 8760
- Practice address
- 6252 S Congress Ave
Suite J1
Lantana, FL 33462-2352 - Phone
- (561) 433-8500
- Fax
- (561) 641-6821
- NPI assigned
- Aug 11, 2006
- Last updated
- Aug 25, 2010
- 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 | CH 8760 | FL | Primary |
Addresses
Primary practice location
6252 S Congress Ave
Suite J1
Lantana, FL 33462-2352
Mailing address
14804 Stirrup LN
Wellington, FL 33414-7830
Phone (561) 512-3890
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 8760 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clickaclinic Com Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Lantana, FL
- NPI 1659783306
-
- Clinical Medical Laboratory
- Lake Worth, FL
- NPI 1851708630
-
dba Millennium Treatment Group
- Community/Behavioral Health Agency
- Lantana, FL
- NPI 1417200031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1285645234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14804 STIRRUP LN",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334147830",
"telephone_number": "561-512-3890",
"fax_number": "561-641-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6252 S CONGRESS AVE",
"address_2": "SUITE J1",
"city": "LANTANA",
"state": "FL",
"postal_code": "334622352",
"telephone_number": "561-433-8500",
"fax_number": "561-641-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTVENA",
"first_name": "LAWRENCE",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 8760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.