Active NPI
Jessica Meylor Benningfield, D.C.
- Chiropractor
- Mooresville, NC
National Provider Identifier
1497834733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3645
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3645 | NC | MD | Environmental Modification Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meylor Family Chiropractic, PC | Chiropractor | Past | 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.
-
- Chiropractor
- Kernersville, NC
- NPI 1053615047
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.