Individual provider Active NPI

Benjamin Roy Cowell, D.C.

  • Chiropractor
  • Garberville, CA
National Provider Identifier
1356725600
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31994 Issued in CA
Practice address
441 Melville Rd
Garberville, CA 95542-3409
Phone
(707) 923-2880
Fax
(707) 923-2881
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 31994 CA Primary

Addresses

Primary practice location

441 Melville Rd
Garberville, CA 95542-3409

Mailing address

441 Melville Rd
Garberville, CA 95542-3409
Phone (707) 923-2880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150729006607 CA Practitioner - Chiropractic 7315251865 Reassigns benefits to 1 organization
Practice locations: Fortuna, CA; Garberville, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

431 N Fortuna Blvd
Fortuna, CA 95540-2724
Phone (707) 726-9179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cowell Chiropractic Inc Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
Cowell Chiropractic Chiropractor PastSince May 27, 2015 Accepting new patients
David J. D'Amico Chiropractic, Inc. Chiropractor PastSince Jan 1, 2022 Accepting new patients

Locations

431 N Fortuna Blvd
Fortuna, CA 95540
Phone (707) 726-9179

441 Melville Rd
Garberville, CA 95542
Phone (707) 923-2880

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1356725600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MELVILLE RD",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423409",
            "telephone_number": "707-923-2880",
            "fax_number": "707-923-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MELVILLE RD",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423409",
            "telephone_number": "707-923-2880",
            "fax_number": "707-923-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWELL",
        "first_name": "BENJAMIN",
        "middle_name": "ROY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garberville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.

Verify at the official NPI Registry.