Active NPI
Daniel Patrick Bentz, DC
- Chiropractor
- Foxboro, MA
National Provider Identifier
1336248384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2686
- Practice address
- 17 Cocasset St
Foxboro, MA 02035-2948 - Phone
- (508) 543-1866
- Fax
- (508) 543-1867
- NPI assigned
- Sep 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2686 | MA | Primary |
Addresses
Primary practice location
17 Cocasset St
Foxboro, MA 02035-2948
Mailing address
17 Cocasset St
Foxboro, MA 02035-2948
Phone (508) 543-1866
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26457-6 | Other | RI | BLUE CROSS RI |
| 410012 | Other | RI | BLUE CHIP RI |
| Y39626 (Y36970) | Other | MA | BLUE CROSS MA |
| 351474 | Other | MA | HARVARD PILGRIM MA |
| 3333629 | Other | MA | AETNA |
| 456886 | Other | MA | TUFTS |
| 6665609 | Other | MA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 Cocasset St
Foxboro, MA 02035-2948
Phone (508) 543-1866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2686 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
17 Cocasset St
Foxborough, MA 02035
Phone (508) 543-0508
Organizations & group practices 1
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.
-
- Chiropractor
- Foxboro, MA
- NPI 1326249756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336248384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 COCASSET ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352948",
"telephone_number": "508-543-1866",
"fax_number": "508-543-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 COCASSET ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352948",
"telephone_number": "508-543-1866",
"fax_number": "508-543-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTZ",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS RI",
"identifier": "26457-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP RI",
"identifier": "410012",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MA",
"identifier": "Y39626 (Y36970)",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM MA",
"identifier": "351474",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3333629",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "456886",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6665609",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Foxboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.