Individual provider Active NPI

Svein Gunnar Benestad, CHIROPRACTOR DC

  • Chiropractor
  • Farmington, MI
National Provider Identifier
1295827632
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004950 Issued in MI
Practice address
31166 Grand River
Farmington, MI 48336
Phone
(248) 477-6400
Fax
(248) 477-6544
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301004950 MI Primary

Addresses

Primary practice location

31166 Grand River
Farmington, MI 48336

Mailing address

31166 Grand River Ave
Farmington, MI 48336-4277
Phone (248) 477-6400

Other identifiers 2

IdentifierTypeStateIssuer
950F35211DOtherMIBCBS
OF352110OtherMIBCN

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

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1295827632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31166 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483364277",
            "telephone_number": "248-477-6400",
            "fax_number": "248-477-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31166 GRAND RIVER",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "48336",
            "telephone_number": "248-477-6400",
            "fax_number": "248-477-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENESTAD",
        "first_name": "SVEIN",
        "middle_name": "GUNNAR",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950F35211D",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "OF352110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.