Organization Active NPI

Suncoast Chiropractic LLC

  • Chiropractor
  • Port Charlotte, FL
National Provider Identifier
1346306271
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7982 Issued in FL
Legal business name
SUNCOAST CHIROPRACTIC LLC
Practice address
687 Tamiami TRL
Port Charlotte, FL 33953-2903
Phone
(941) 743-9904
Fax
(941) 743-9905
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. Craig J Benton, DCNPI 1477658755
Title
President
Phone
(941) 743-9904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7982 FL Primary

Addresses

Primary practice location

687 Tamiami TRL
Port Charlotte, FL 33953-2903

Mailing address

687 Tamiami TRL
Port Charlotte, FL 33953-2903
Phone (941) 743-9904

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000201 FL Part B Supplier - Clinic/Group Practice 1951401371 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Locations

687 Tamiami Trl
Pt Charlotte, FL 33953
Phone (941) 743-9904

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1346306271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339532903",
            "telephone_number": "941-743-9904",
            "fax_number": "941-240-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339532903",
            "telephone_number": "941-743-9904",
            "fax_number": "941-743-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-743-9904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.