Active NPI
Matthew Bennett
- Chiropractor
- Elkhart, IN
National Provider Identifier
1578096996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08002949A
- Practice address
- 1178 Fremont CT
Elkhart, IN 46516-9321 - Phone
- (574) 293-7000
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- 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 | 08002949A | IN | Primary |
Addresses
Primary practice location
1178 Fremont CT
Elkhart, IN 46516-9321
Mailing address
1178 Fremont CT
Elkhart, IN 46516-9321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1178 Fremont CT
Suite 1
Elkhart, IN 46516-9321
Phone (574) 293-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett Chiropractic Wellness Center, LLC | Chiropractor | Current | Accepting new patients |
Locations
1178 Fremont Ct
Elkhart, IN 46516
Phone (574) 238-6199
1178 Fremont Ct
#1
Elkhart, IN 46516
Phone (574) 293-7000
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 and National Provider Directory roles.
-
- Chiropractor
- Elkhart, IN
- NPI 1831374180
-
- Chiropractor
- Elkhart, IN
- NPI 1033640586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1578096996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 FREMONT CT",
"city": "ELKHART",
"state": "IN",
"postal_code": "465169321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 FREMONT CT",
"city": "ELKHART",
"state": "IN",
"postal_code": "465169321",
"telephone_number": "574-293-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08002949A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.