Timothy S Benner, DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4210 Issued in AZ

Legal business name

TIMOTHY S BENNER, DC, PC

Practice address

10910 N Tatum Blvd
103
Phoenix, AZ 85028-3080

Phone

(602) 870-3353

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy S Benner, D.C.NPI 1730256777

Title

Doctor

Phone

(602) 870-3353

Specialties & licenses 1

Addresses

Other names 1

• Benner Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy S Benner, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1730256777
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1467636704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 N TATUM BLVD",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283080",
            "telephone_number": "602-870-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 N TATUM BLVD",
            "address_2": "103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283080",
            "telephone_number": "602-870-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S BENNER, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "602-870-3353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benner Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl A Timmons, RN
• Jaci A. Timmons, MD
• Suzanne Marie Timmons, MPH, RD, CSP, CSNC
• Zebulon Joseph Timmons, MD
• Timothy M Smith MD PC
• Timothy Sapp MD PLLC
• Timothy T. Kuberski, M.D., P.C.
• Vincent Maurice Timpone, MD
• Charmonique Deniseluci Tims, NMD
• Tashonne Timson, LCSW

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.