Individual provider Active NPI

Joshua Daniel Ben, D.C.

  • Chiropractor
  • Roswell, GA
National Provider Identifier
1457658551
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10511 Issued in GA
Practice address
625 W Crossville Rd Ste 126
Roswell, GA 30075-7504
Phone
(425) 891-9029
NPI assigned
Feb 25, 2011
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10511 GA Primary

Addresses

Primary practice location

625 W Crossville Rd Ste 126
Roswell, GA 30075-7504

Mailing address

625 W Crossville Rd Ste 126
Roswell, GA 30075-7504
Phone (678) 620-3294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220301002013 GA Practitioner - Chiropractic 4284801143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

625 W Crossville Rd
Suite 126
Roswell, GA 30075-7504
Phone (425) 891-9029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10511GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifegiving Chiropractic Roswell LLC Chiropractor CurrentSince Jan 14, 2022 Accepting new patients
Lifegiving Chiropractic Suwanee LLC Chiropractor Current Accepting new patients

Locations

625 W Crossville Rd
Ste 126
Roswell, GA 30075
Phone (425) 891-9029

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1457658551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W CROSSVILLE RD STE 126",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757504",
            "telephone_number": "678-620-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CROSSVILLE RD STE 126",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757504",
            "telephone_number": "425-891-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.