Bennett Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5081 Issued in FL

Legal business name

BENNETT CHIROPRACTIC CLINIC INC

Practice address

3945 South Nova Road
Port Orange, FL 32127

Phone

(386) 767-1100

Fax

(386) 767-1103

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Carl Henry Bennett, DCNPI 1356452254

Title

Owner President

Phone

(386) 767-1100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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

• Carl Henry Bennett, DC

  • Chiropractor
  • Port Orange, FL
  • NPI 1356452254
  Medicare reassignment NPD Authorized official
• Carly Kristeen Meckle, D.C

  • Chiropractor
  • Edgewater, FL
  • NPI 1780023440
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346351244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 SOUTH NOVA ROAD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-767-1100",
            "fax_number": "386-767-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 SOUTH NOVA ROAD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-767-1100",
            "fax_number": "386-767-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER    PRESIDENT",
        "authorized_official_telephone_number": "386-767-1100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenika Beltinor
• Sara Belz, FNP-BC
• Nancy Bempa
• Taylor Benedetto
• Melissa Benefield
• Carl Henry Bennett, DC
• Catherine Elizabeth Bennett, APRN
• Gloria Bennett
• Megan Bennett
• Tina Mallard Bennett, D.C.

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• 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.