Jeffery Ray Bennett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

103 S John St
Dwight, IL 60420-1413

Phone

(815) 584-3808

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1447281159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S JOHN ST",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604201413",
            "telephone_number": "815-584-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S JOHN ST",
            "city": "DWIGHT",
            "state": "IL",
            "postal_code": "604201413",
            "telephone_number": "815-584-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JEFFERY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Jean Abate, PHARM. D.
• Sandra Abraham, CNP
• Arc at Dwight LLC
• Arc at Dwight LLC
• Joan M. Bistry, M.A., N.C.C.A.
• Modinat Iretioluwa Bokin
• Marcie R Burton, COTA/L
• Cfac Incorporated
• Champion Fitness, Inc

• Chiropractor in Dwight, IL
• Providers in Dwight, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.