Active NPI
Eric Kenneth Bennett, D.C.
- Chiropractor
- Lebanon, OR
National Provider Identifier
1376668624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2922
- Practice address
- 1786 S Main St
Lebanon, OR 97355-3139 - Phone
- (541) 451-5577
- Fax
- (541) 451-5538
- NPI assigned
- Mar 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2922 | OR | Primary |
Addresses
Primary practice location
1786 S Main St
Lebanon, OR 97355-3139
Mailing address
1786 S Main St
Lebanon, OR 97355-3139
Phone (541) 451-5577
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2922 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1376668624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 S MAIN ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553139",
"telephone_number": "541-451-5577",
"fax_number": "541-451-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1786 S MAIN ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553139",
"telephone_number": "541-451-5577",
"fax_number": "541-451-5538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ERIC",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "2922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.