Active NPI
Christine Diane Benner, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1447264585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005811
- Practice address
- 20 W 22ND St
Suite 1402
New York, NY 10010-5804 - Phone
- (212) 929-2424
- Fax
- (212) 929-2458
- NPI assigned
- Jul 27, 2006
- Last updated
- Aug 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005811 | NY | Primary |
| Acupuncturist | 171100000X | 003531 | NY |
Addresses
Primary practice location
20 W 22ND St
Suite 1402
New York, NY 10010-5804
Mailing address
20 W 22ND St
Suite 1402
New York, NY 10010-5804
Phone (212) 929-2424
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005811 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Health Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1265459945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1447264585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W 22ND ST",
"address_2": "SUITE 1402",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105804",
"telephone_number": "212-929-2424",
"fax_number": "212-929-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 22ND ST",
"address_2": "SUITE 1402",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105804",
"telephone_number": "212-929-2424",
"fax_number": "212-929-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNER",
"first_name": "CHRISTINE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005811",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "003531",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.