Individual provider Active NPI

Benjamin L Hennes, DC

  • Chiropractor
  • Zionsville, IN
National Provider Identifier
1467929968
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003190A Issued in IN
Practice address
7625 W Stonegate Dr Ste 100
Zionsville, IN 46077-8595
Phone
(920) 850-4814
NPI assigned
Nov 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5944 OR
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08003190A IN Primary

Addresses

Primary practice location

7625 W Stonegate Dr Ste 100
Zionsville, IN 46077-8595

Mailing address

7110 Westhaven Cir Apt 204
Zionsville, IN 46077-7745
Phone (920) 850-4814

Other practice location 1

806 SW Broadway Ste 350
Portland, OR 97205-3336
Phone (503) 224-9513

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

State licenses

LicenseStateTypeSpecialty
08003190AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Chiropractic LLC Chiropractor CurrentSince Apr 25, 2021 Accepting new patients

Locations

7625 W Stonegate Dr
#100
Zionsville, IN 46077
Phone (317) 207-6235

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": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1467929968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 WESTHAVEN CIR APT 204",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460777745",
            "telephone_number": "920-850-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 W STONEGATE DR STE 100",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778595",
            "telephone_number": "920-850-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 SW Broadway Ste 350",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972053336",
            "country_code": "US",
            "telephone_number": "503-224-9513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNES",
        "first_name": "BENJAMIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5944",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003190A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.