Organization Active NPI

Lawrence J Bentvena DC PA

  • Health Service Clinic/Center
  • Lantana, FL
National Provider Identifier
1295041572
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CH 8760 Issued in FL
Legal business name
LAWRENCE J BENTVENA DC PA
Practice address
6252 S Congress Ave
Suite J1
Lantana, FL 33462-2352
Phone
(561) 433-8500
Fax
(561) 641-6821
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawwrence J Bentvena, DC
Title
Owner
Phone
(561) 433-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CH 8760 FL Primary

Addresses

Primary practice location

6252 S Congress Ave
Suite J1
Lantana, FL 33462-2352

Mailing address

6252 S Congress Ave
Suite J1
Lantana, FL 33462-2352
Phone (561) 433-8500

Other names 1

  • MIDCOUNTY CHIROPRACTIC & REHABILITATION CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1295041572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "LAWRENCE J BENTVENA DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "BENTVENA",
        "authorized_official_first_name": "LAWWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-433-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH 8760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDCOUNTY CHIROPRACTIC & REHABILITATION CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.