Organization Active NPI

Benchley Chiropractic Clinic, P.C.

  • Chiropractor
  • Clare, MI
National Provider Identifier
1316016991
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
BB003043 Issued in MI
Legal business name
BENCHLEY CHIROPRACTIC CLINIC, P.C.
Practice address
701 Beech St
Clare, MI 48617-1427
Phone
(989) 386-2384
Fax
(989) 386-2105
NPI assigned
Nov 7, 2006
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
John McCracken
Title
Manager
Phone
(989) 386-2384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X BB003043 MI Primary

Addresses

Primary practice location

701 Beech St
Clare, MI 48617-1427

Mailing address

701 Beech St
Clare, MI 48617-1427
Phone (989) 386-2384

Other identifiers 1

IdentifierTypeStateIssuer
2101746MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000672 MI Part B Supplier - Clinic/Group Practice 0244263200 Receives reassigned benefits from 2 practitioners
Practice locations: Clare, MI

National Provider Directory

National Provider Directory

Locations

701 Beech St
Clare, MI 48617
Phone (989) 386-2384

Interoperability endpoints

  • Direct secure messaging: dr.benchley@bccp0009.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1316016991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171427",
            "telephone_number": "989-386-2384",
            "fax_number": "989-386-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171427",
            "telephone_number": "989-386-2384",
            "fax_number": "989-386-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHLEY CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-386-2384"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "BB003043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101746",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clare, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.