Active NPI
Dr Craig a. Benson Chiropractic Clinic Inc
- Chiropractor
- Poulsbo, WA
National Provider Identifier
1497802680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2079
- Legal business name
- DR CRAIG A. BENSON CHIROPRACTIC CLINIC INC
- Practice address
- 17791 Fjord Dr NE Ste 214
Poulsbo, WA 98370-8481 - Phone
- (360) 779-9957
- Fax
- (360) 779-5848
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craig Auld Benson, DC
- Title
- Owner
- Phone
- (360) 779-9957
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2079 | WA | Primary |
Addresses
Primary practice location
17791 Fjord Dr NE Ste 214
Poulsbo, WA 98370-8481
Mailing address
PO Box 1893
Poulsbo, WA 98370-0270
Phone (360) 779-9957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
17791 Fjord Dr NE
Ste 214
Poulsbo, WA 98370
Phone (360) 779-9957
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Poulsbo, WA
- NPI 1033114236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497802680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1893",
"city": "POULSBO",
"state": "WA",
"postal_code": "983700270",
"telephone_number": "360-779-9957",
"fax_number": "360-779-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17791 FJORD DR NE STE 214",
"city": "POULSBO",
"state": "WA",
"postal_code": "983708481",
"telephone_number": "360-779-9957",
"fax_number": "360-779-5848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CRAIG A. BENSON CHIROPRACTIC CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "AULD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-779-9957",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WA",
"license": "2079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.