Individual provider Active NPI

Benjamin M Buck, D.C.

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1487040291
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008055 Issued in CO
Practice address
600 S Airport Rd
Unit CC
Longmont, CO 80503-6407
Phone
(303) 776-6767
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 077525 IA
Chiropractor 111N00000X CHR.0008055 CO Primary

Addresses

Primary practice location

600 S Airport Rd
Unit CC
Longmont, CO 80503-6407

Mailing address

600 S Airport Rd
Unit CC
Longmont, CO 80503-6407
Phone (509) 308-1201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104000901 CO Practitioner - Chiropractic 4385963339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brothers Buck, PCGroup PAC ID 8426478298, 3 clinicians

Practice addresses (Care Compare)

600 S Airport Rd Unit CC
Longmont Boulder Sports Chiropractic
Longmont, CO 80503-6407
Phone (303) 776-6767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0008055COMDChiropractor
077525IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brothers Buck PC Chiropractor CurrentSince Nov 27, 2019 Accepting new patients
New Leaf Chiropractic, LLC Past Accepting new patients

Locations

1756 38th St
Boulder, CO 80301
Phone (303) 442-2667

1190 E Bridge St
Brighton, CO 80601
Phone (303) 659-4220

600 S Airport Rd
Unit Cc
Longmont, CO 80503
Phone (303) 776-6767

600 S Airport Rd
Unit C
Longmont, CO 80503
Phone (303) 776-6767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1487040291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "address_2": "UNIT CC",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036407",
            "telephone_number": "509-308-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "address_2": "UNIT CC",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036407",
            "telephone_number": "303-776-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "077525",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.