Individual provider Active NPI

Jessica Meylor Benningfield, D.C.

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1497834733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3645 Issued in NC
Practice address
2785 Charlotte Hwy # Hwy21
Suite 23
Mooresville, NC 28117-8050
Phone
(704) 799-8060
Fax
(704) 799-8131
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3645 NC Primary

Addresses

Primary practice location

2785 Charlotte Hwy # Hwy21
Suite 23
Mooresville, NC 28117-8050

Mailing address

2785 Charlotte Hwy # Hwy21
Suite 23
Mooresville, NC 28117-8050
Phone (704) 799-8060

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
3645NCMDEnvironmental Modification Occupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meylor Family Chiropractic, PC Chiropractor PastSince Jan 9, 2011 Accepting new patients

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497834733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 CHARLOTTE HWY # HWY21",
            "address_2": "SUITE 23",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178050",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 CHARLOTTE HWY # HWY21",
            "address_2": "SUITE 23",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178050",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGFIELD",
        "first_name": "JESSICA",
        "middle_name": "MEYLOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.