Individual provider Active NPI

Benjamin James McNeil, DC

  • Chiropractor
  • Metairie, LA
National Provider Identifier
1649292418
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1395 Issued in LA
Practice address
3501 Severn Ave
Ste 8
Metairie, LA 70002-3451
Phone
(504) 835-0565
Fax
(504) 835-0985
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1395 LA Primary

Addresses

Primary practice location

3501 Severn Ave
Ste 8
Metairie, LA 70002-3451

Mailing address

3501 Severn Ave
Ste 8
Metairie, LA 70002-3451
Phone (504) 835-0565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000600 LA Practitioner - Chiropractic 3173538089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Healthcare, LLCGroup PAC ID 5496946121, 3 clinicians

Practice addresses (Care Compare)

3501 Severn Ave
Suite 8
Metairie, LA 70002-3456
Phone (504) 835-0565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare, LLC CurrentSince Jul 15, 2011 Accepting new patients

Locations

3501 Severn Ave
Ste 8
Metairie, LA 70002
Phone (504) 249-8231

2629 N Causeway Blvd
Ste 100
Metairie, LA 70002
Phone (504) 460-9277

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1649292418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SEVERN AVE",
            "address_2": "STE 8",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023451",
            "telephone_number": "504-835-0565",
            "fax_number": "504-835-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SEVERN AVE",
            "address_2": "STE 8",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023451",
            "telephone_number": "504-835-0565",
            "fax_number": "504-835-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.