Individual provider Active NPI

Benjamin John Drach

  • Chiropractor
  • Charlotte, NC
National Provider Identifier
1659057404
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5534 Issued in NC
Practice address
2728 W Mallard Creek Church Rd Ste 330
Charlotte, NC 28262-2309
Phone
(980) 585-4005
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5534 NC Primary

Addresses

Primary practice location

2728 W Mallard Creek Church Rd Ste 330
Charlotte, NC 28262-2309

Mailing address

4312 Sugarstone LN Apt 214
Charlotte, NC 28269-3246
Phone (541) 613-0972

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612000112 NC Practitioner - Chiropractic 2860934304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Wellness of the CarolinasGroup PAC ID 2466605662, 6 clinicians

Practice addresses (Care Compare)

103 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 792-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Wellness of the Carolinas CurrentSince Apr 23, 2024 Accepting new patients
Infinite Wellness of the Carolinas CurrentSince Apr 23, 2024 Accepting new patients

Locations

103 Country Club Dr NE
Kannapolis, NC 28025
Phone (704) 721-4232

2160 Commerce Dr
Ste B
Monroe, NC 28110
Phone (704) 282-9300

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1659057404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 SUGARSTONE LN APT 214",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693246",
            "telephone_number": "541-613-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 W MALLARD CREEK CHURCH RD STE 330",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622309",
            "telephone_number": "980-585-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRACH",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.