Organization Active NPI

Bennett Specific Chiropractic, Inc

  • Chiropractor
  • Orion, MI
National Provider Identifier
1629405584
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
L23886884 Issued in MI
Legal business name
BENNETT SPECIFIC CHIROPRACTIC, INC
Practice address
3385 Waldon Rd
Orion, MI 48360-1648
Phone
(248) 391-6101
Fax
(248) 391-6102
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Christopher Brian Bennett, D.C.NPI 1922318625
Title
President
Phone
(678) 571-3498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X L23886884 MI Primary

Addresses

Primary practice location

3385 Waldon Rd
Orion, MI 48360-1648

Mailing address

3385 Waldon Rd
Orion, MI 48360-1648
Phone (248) 391-6101

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131115000558 MI Part B Supplier - Clinic/Group Practice 9032345376 Receives reassigned benefits from 1 practitioner
Practice locations: Orion, MI

National Provider Directory

National Provider Directory

Locations

3385 Waldon Rd
Orion, MI 48360
Phone (248) 391-2244

3385 Waldon Rd
Ste 1
Orion, MI 48360
Phone (248) 391-6101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1629405584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 WALDON RD",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483601648",
            "telephone_number": "248-391-6101",
            "fax_number": "248-391-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 WALDON RD",
            "city": "ORION",
            "state": "MI",
            "postal_code": "483601648",
            "telephone_number": "248-391-6101",
            "fax_number": "248-391-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT SPECIFIC CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-571-3498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "L23886884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.