Individual provider Active NPI

Ian S. Benison, D.C.

  • Chiropractor
  • Boynton Beach, FL
National Provider Identifier
1417922998
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 7314 Issued in FL
Practice address
9851 S Military TRL
Suite C
Boynton Beach, FL 33436-3237
Phone
(561) 731-4457
Fax
(561) 732-5020
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 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 CH 7314 FL Primary

Addresses

Primary practice location

9851 S Military TRL
Suite C
Boynton Beach, FL 33436-3237

Mailing address

9851 S Military TRL
Boynton Beach, FL 33436-3238
Phone (561) 731-4457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207001102 FL Practitioner - Chiropractic 7416143383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9851 S Military TRL
Suite C
Boynton Beach, FL 33436-3238
Phone (561) 731-4457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 7314FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ian S Benison D.C., P.a. Chiropractor CurrentSince Oct 28, 2010 Accepting new patients

Locations

9851 S Military Trl
Ste C
Boynton Beach, FL 33436
Phone (561) 731-4457

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1417922998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363238",
            "telephone_number": "561-731-4457",
            "fax_number": "561-732-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 S MILITARY TRL",
            "address_2": "SUITE C",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363237",
            "telephone_number": "561-731-4457",
            "fax_number": "561-732-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENISON",
        "first_name": "IAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 7314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.