Laja'Via Krenele Benjamin, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH9150 Issued in FL

Practice address

4600 W Commercial Blvd Ste 5
Tamarac, FL 33319-3307

Phone

(954) 541-5141

NPI assigned

Feb 11, 2008

Last updated

Apr 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1609054816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NE 66TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331385618",
            "telephone_number": "404-932-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 W COMMERCIAL BLVD STE 5",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193307",
            "telephone_number": "954-541-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "LAJA'VIA",
        "middle_name": "KRENELE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9150",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "FL",
            "license": "CH9150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Bencomo
• Kevin Ross Bender, M.D.
• Sarah Bengeloun
• Hayley Benitez
• Natasha Gloria Benitez
• Yvonne M Bent
• Sigal Benyehuda, LMT
• Ann Patricia Berger, MSW
• Brett Jared Berkowitz
• Richard David Berkowitz, M.D.

• Sports Physician Chiropractor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.