Active NPI
Kelley Ann Taylor-Bentz, DC
- Chiropractor
- Foxboro, MA
National Provider Identifier
1376642348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2689
- Practice address
- 17 Cocasset St
Foxboro, MA 02035-2948 - Phone
- (508) 543-1866
- Fax
- (508) 543-1867
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2689 | MA | Primary |
Addresses
Primary practice location
17 Cocasset St
Foxboro, MA 02035-2948
Mailing address
17 Cocasset St
Foxboro, MA 02035-2948
Phone (508) 543-1866
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1168339 | Other | MA | CIGNA |
| 409959 | Other | RI | BLUE CHIP RI |
| 33100489 | Other | MA | HCVM |
| 494480 | Other | MA | TUFTS |
| Y36869 | Other | MA | BLUE CROSS MA (Y39626) |
| 23194-3 | Other | RI | BLUE CROSS RI |
| 351476 | Other | MA | HARVARD PILGRIM |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376642348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 COCASSET ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352948",
"telephone_number": "508-543-1866",
"fax_number": "508-543-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 COCASSET ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352948",
"telephone_number": "508-543-1866",
"fax_number": "508-543-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-BENTZ",
"first_name": "KELLEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1168339",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP RI",
"identifier": "409959",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "33100489",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "494480",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MA (Y39626)",
"identifier": "Y36869",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS RI",
"identifier": "23194-3",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "351476",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Foxboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.