Organization Active NPI

Bennett Family Chiropractic, PLLC

  • Chiropractor
  • Auburn, MI
National Provider Identifier
1386881191
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BENNETT FAMILY CHIROPRACTIC, PLLC
Practice address
807 W Midland Rd
Auburn, MI 48611-9200
Phone
(989) 662-4000
NPI assigned
Jan 15, 2009
Last updated
Feb 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Ms. Lynn K Bennett
Title
Owner
Phone
(989) 600-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

807 W Midland Rd
Auburn, MI 48611-9200

Mailing address

807 W Midland Rd
Auburn, MI 48611-9200
Phone (989) 662-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090317000264 MI Part B Supplier - Clinic/Group Practice 6709943814 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, MI

National Provider Directory

National Provider Directory

Locations

807 W Midland Rd
Auburn, MI 48611
Phone (989) 662-4000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1386881191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119200",
            "telephone_number": "989-662-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119200",
            "telephone_number": "989-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-600-1810",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.