Individual provider Active NPI

Candace Nyarkuah Benjamin, D.C.

  • Rehabilitation Chiropractor
  • Frisco, TX
National Provider Identifier
1295929446
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
10491 Issued in TX
Practice address
14688 State Highway 121 Ste 130
Frisco, TX 75035-4662
Phone
(800) 404-6050
Fax
(866) 313-3397
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 10491 TX Primary

Addresses

Primary practice location

14688 State Highway 121 Ste 130
Frisco, TX 75035-4662

Mailing address

PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 318-3007

Other identifiers 1

IdentifierTypeStateIssuer
10491OtherTXCHIROPRACTIC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@airrosti-rehab-ctrs.direct.kno2fy.com Airrosti Rehab Centers, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819000898 TX Practitioner - Chiropractic 8325376163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10491TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Airrosti Rehab Centers, LLC Rehabilitation CurrentSince May 9, 2019 Accepting new patients
Airrosti Rehab Centers Chiropractor Past Accepting new patients

Locations

11714 Wilson Parke Ave
Ste 150
Austin, TX 78726
Phone (512) 346-6611

15050 Fairfield Village Square Dr
Ste 140
Cypress, TX 77433

14688 State Highway 121
Ste 130
Frisco, TX 75035

100 Bourland Rd
Ste 170B
Keller, TX 76248

1260 E League City Pkwy
Ste 800
League City, TX 77573

1920 Country Place Pkwy
Ste 130
Pearland, TX 77584

3600 Shire Blvd
Ste 102
Richardson, TX 75082

15930 S Great Oaks Dr
Ste A200
Round Rock, TX 78681
Phone (512) 246-3338

111 Tower Dr
Bldg 1
San Antonio, TX 78232
Phone (210) 477-7654

911 Central Pkwy N
Ste 300
San Antonio, TX 78232
Phone (210) 249-4874

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1295929446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700688",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700688",
            "telephone_number": "210-318-3007",
            "fax_number": "210-468-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14688 STATE HIGHWAY 121 STE 130",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354662",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "CANDACE",
        "middle_name": "NYARKUAH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "10491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "10491",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@airrosti-rehab-ctrs.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "Airrosti Rehab Centers, LLC",
            "address_1": "111 Tower Dr Bldg 1",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782323625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.

Verify at the official NPI Registry.