Active NPI
Benjamin Benoni Jensen, D.C.
- Chiropractor
- Logan, UT
National Provider Identifier
1548408149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7224219-1202
- Practice address
- 944 S Highway 89
Logan, UT 84321-5436 - Phone
- (435) 755-3432
- NPI assigned
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 7224219-1202 | UT | Primary |
Addresses
Primary practice location
944 S Highway 89
Logan, UT 84321-5436
Mailing address
364 W 200 N Apt 4
Logan, UT 84321-3841
Phone (435) 770-4043
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 |
|---|---|---|---|
| 7224219-1202 | UT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chan Healthcare Group PS | 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
- Seattle, WA
- NPI 1528204690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236556800000",
"number": "1548408149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 W 200 N APT 4",
"city": "LOGAN",
"state": "UT",
"postal_code": "843213841",
"telephone_number": "435-770-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 S HIGHWAY 89",
"city": "LOGAN",
"state": "UT",
"postal_code": "843215436",
"telephone_number": "435-755-3432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "BENJAMIN",
"middle_name": "BENONI",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2009-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7224219-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.