Active NPI
Gina M Benassi, DC, FACO,
- Chiropractor
- Woodbury, MN
National Provider Identifier
1619954849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2985
- Practice address
- 731 Bielenberg Drive
Suite 101
Woodbury, MN 55025-1700 - Phone
- (651) 578-9191
- Fax
- (651) 702-7499
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- 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 | 2985 | MN | Primary |
Addresses
Primary practice location
731 Bielenberg Drive
Suite 101
Woodbury, MN 55025-1700
Mailing address
731 Bielenberg Drive
Suite 101
Woodbury, MN 55025-1700
Phone (651) 578-9191
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41-1883279 | Other | FEDERAL TAX ID | |
| 02B21BE | Other | MN | EPNI SELECT CHIROPRACTIC |
| 0446 | Other | MN | HSM PROVIDER NUMBER |
| 231918 | Other | MN | CHIROCARE OF MN |
| 350002251 | Other | MN | MEDICARE ID - TYPE UNSPECIFIED |
| 350049060 | Other | MN | RAILROAD MEDICARE |
| 476452 | Other | MN | FOCUS HEALTHCARE MGMNT |
| 498528100 | Medicaid | MN | |
| MN3755 | Other | MN | PREFERRED CHIROPRACTIC CA |
| 02B20BE | Other | MN | PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
731 Bielenberg Dr
Suite 101
Woodbury, MN 55125-1701
Phone (651) 578-9191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2985 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benassi Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
Locations
8650 Hudson Blvd N
Ste 205
Lake Elmo, MN 55042
Phone (651) 578-9191
731 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 578-9191
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
- Woodbury, MN
- NPI 1770780504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1619954849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 BIELENBERG DRIVE",
"address_2": "SUITE 101",
"city": "WOODBURY",
"state": "MN",
"postal_code": "550251700",
"telephone_number": "651-578-9191",
"fax_number": "651-702-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 BIELENBERG DRIVE",
"address_2": "SUITE 101",
"city": "WOODBURY",
"state": "MN",
"postal_code": "550251700",
"telephone_number": "651-578-9191",
"fax_number": "651-702-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENASSI",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC, FACO,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "41-1883279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPNI SELECT CHIROPRACTIC",
"identifier": "02B21BE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HSM PROVIDER NUMBER",
"identifier": "0446",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROCARE OF MN",
"identifier": "231918",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - TYPE UNSPECIFIED",
"identifier": "350002251",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350049060",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOCUS HEALTHCARE MGMNT",
"identifier": "476452",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498528100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CHIROPRACTIC CA",
"identifier": "MN3755",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "02B20BE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.