Bender Family Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BENDER FAMILY CHIROPRACTIC PLLC

Doing business as

Lakeland Chiropractic Clinic

Practice address

119 Graystone Plaza
Suite 110
Detroit Lakes, MN 56501

Phone

(218) 847-2631

Fax

(218) 847-0048

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Paul William Bender, DCNPI 1073671764

Title

Owner

Phone

(218) 847-2631

Specialties & licenses 1

Addresses

Other names 1

• Lakeland Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul William Bender, D.C.

  • Chiropractor
  • Detroit Lakes, MN
  • NPI 1073671764
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346236627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLAZA",
            "address_2": "SUITE 110",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-847-2631",
            "fax_number": "218-847-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GRAYSTONE PLAZA",
            "address_2": "SUITE 110",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-847-2631",
            "fax_number": "218-847-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-847-2631",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Sue Bailey, RN
• Becker County (Becker County Community Health)
• Becker County Human Services
• Benita Behm, MD
• Jennie Marie Bell, LICSW
• Paul William Bender, D.C.
• Emily Bendickson
• Benefits of Light LLC
• Justin Berg
• Nicole Berg, PT, DPT

• Chiropractor in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.