Individual provider Active NPI

Michael L Bentley, DC

  • Chiropractor
  • Maumee, OH
National Provider Identifier
1497782254
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1494 Issued in OH
Practice address
123 E William St
Maumee, OH 43537-3349
Phone
(419) 893-0231
Fax
(419) 891-6900
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1494 OH Primary

Addresses

Primary practice location

123 E William St
Maumee, OH 43537-3349

Mailing address

123 E William St
Maumee, OH 43537-3349
Phone (419) 893-0231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000472 OH Practitioner - Chiropractic 4082889555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1494OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew R Syrek DC LLC CurrentSince Jul 22, 2025 Accepting new patients
Bentley Chiropractic, Inc Chiropractor CurrentSince Nov 1, 1989 Accepting new patients

Locations

123 E William St
Maumee, OH 43537
Phone (419) 893-0231

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1497782254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E WILLIAM ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373349",
            "telephone_number": "419-893-0231",
            "fax_number": "419-891-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E WILLIAM ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373349",
            "telephone_number": "419-893-0231",
            "fax_number": "419-891-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.