Individual provider Active NPI

Karlynn Lee Benson, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1396864658
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3029 Issued in MN
Practice address
12940 Harriet Ave S
Suite 240
Burnsville, MN 55337-2680
Phone
(952) 707-8588
Fax
(952) 707-8598
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3029 MN Primary

Addresses

Primary practice location

12940 Harriet Ave S
Suite 240
Burnsville, MN 55337-2680

Mailing address

12940 Harriet Ave S
Suite 240
Burnsville, MN 55337-2680
Phone (952) 707-8588

Other identifiers 1

IdentifierTypeStateIssuer
537226700OtherMNMN-ITS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000968 MN Practitioner - Chiropractic 8022921618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12940 Harriet Ave S
Suite 240
Burnsville, MN 55337-2680
Phone (952) 707-8588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3029MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Chiropractic, P.a. Chiropractor CurrentSince Feb 11, 1993 Accepting new patients

Locations

12940 Harriet Ave S
Ste 240
Burnsville, MN 55337
Phone (952) 707-8588

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1396864658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S",
            "address_2": "SUITE 240",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-707-8588",
            "fax_number": "952-707-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S",
            "address_2": "SUITE 240",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-707-8588",
            "fax_number": "952-707-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "KARLYNN",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN-ITS PROVIDER NUMBER",
            "identifier": "537226700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.