Active NPI
Benedict V Cavaliere Jr., CHIROPRACTOR
- Rehabilitation Chiropractor
- Canton, GA
National Provider Identifier
1366743171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- CHIR008734
- Practice address
- 2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614 - Phone
- (770) 345-9600
- Fax
- (770) 345-9611
- NPI assigned
- Nov 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR008734 | GA | |
| Rehabilitation Chiropractor | 111NR0400X | CHIR008734 | GA | Primary |
Addresses
Primary practice location
2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614
Mailing address
2050 Cumming Hwy
Suite 100
Canton, GA 30114-8614
Phone (770) 345-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR008734 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Healthcare LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Canton, GA
- NPI 1295782514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1366743171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 CUMMING HWY",
"address_2": "SUITE 100",
"city": "CANTON",
"state": "GA",
"postal_code": "301148614",
"telephone_number": "770-345-9600",
"fax_number": "770-345-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 CUMMING HWY",
"address_2": "SUITE 100",
"city": "CANTON",
"state": "GA",
"postal_code": "301148614",
"telephone_number": "770-345-9600",
"fax_number": "770-345-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVALIERE",
"first_name": "BENEDICT",
"middle_name": "V",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR008734",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "GA",
"license": "CHIR008734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.