Individual provider Active NPI

Benjamin Sear Whitten, DC

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1598041956
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
540 Issued in AK
Practice address
510 22ND Ave E
Suite 701
Alexandria, MN 56308-4653
Phone
(320) 763-9711
Fax
(320) 762-1278
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 540 AK Primary

Addresses

Primary practice location

510 22ND Ave E
Suite 701
Alexandria, MN 56308-4653

Mailing address

510 22ND Ave E
Suite 701
Alexandria, MN 56308-4653
Phone (320) 763-9711

Other identifiers 2

IdentifierTypeStateIssuer
5835OtherMNMN CHIROPRACTIC LICENSE
540OtherAKAK LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000506 ND Practitioner - Chiropractic 8022241926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
540AKMDChiropractor
5835MNMDRegistered Dietitian
1185NDMDRegistered Dietitian
1056NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Spinal Care, Inc Chiropractor CurrentSince Aug 19, 2024 Accepting new patients
Mason Orth, PC Chiropractor PastSince May 1, 2017 Accepting new patients

Locations

1515 24th Ave SW
Ste 1
Minot, ND 58701
Phone (701) 852-2800

1515 24th Ave SW
Minot, ND 58701
Phone (701) 852-2800

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.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1598041956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 22ND AVE E",
            "address_2": "SUITE 701",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084653",
            "telephone_number": "320-763-9711",
            "fax_number": "320-762-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 22ND AVE E",
            "address_2": "SUITE 701",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084653",
            "telephone_number": "320-763-9711",
            "fax_number": "320-762-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "BENJAMIN",
        "middle_name": "SEAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN CHIROPRACTIC LICENSE",
            "identifier": "5835",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AK LICENSE NUMBER",
            "identifier": "540",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.