Individual provider Active NPI

Benjamin Franklin Thompson Jr., D.C.

  • Chiropractor
  • Dothan, AL
National Provider Identifier
1548358989
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1251 Issued in AL
Practice address
1001 Tate Dr
Dothan, AL 36301-4334
Phone
(334) 793-2096
Fax
(334) 793-7559
NPI assigned
Oct 11, 2006
Last updated
Dec 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1251 AL Primary
Registered Nurse 163W00000X 1-137625 AL
Registered Nurse 163W00000X 9351425 FL

Addresses

Primary practice location

1001 Tate Dr
Dothan, AL 36301-4334

Mailing address

2610 Choctaw St
Dothan, AL 36303-2540
Phone (334) 793-2096

Other identifiers 2

IdentifierTypeStateIssuer
4803714OtherALCIGNA
51002985OtherALAL BLUE CROSS BLUE

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
1-137625ALMDRegistered Nurse
9351425FLMDRegistered Nurse
1251ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Merritt Chiropractic Center, P.C. PastSince Mar 21, 2021 Accepting new patients
Sanders Chiropractic Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1548358989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 CHOCTAW ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032540",
            "telephone_number": "334-793-2096",
            "fax_number": "323-313-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TATE DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014334",
            "telephone_number": "334-793-2096",
            "fax_number": "334-793-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENJAMIN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1251",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-137625",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9351425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4803714",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AL   BLUE CROSS  BLUE",
            "identifier": "51002985",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.