Kaden Benson, DC

Key facts

NPI

1497433718

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

121075 (IA)

Practice address

2220 E 53Rd St
Davenport, IA 52807-2704

Phone

(563) 355-3100

NPI assigned

Jul 6, 2023

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2023.

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1497433718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 DEVILS GLEN RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226706",
            "telephone_number": "641-660-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072704",
            "telephone_number": "563-355-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "KADEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "121075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Davenport, IA · Chiropractor in Iowa