Active NPI
Benaway Chiropractic, LLC
Doing business as Benaway Chiropractic
- Chiropractor
- Jackson, MI
National Provider Identifier
1659103950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- BENAWAY CHIROPRACTIC, LLC
- Doing business as
- Benaway Chiropractic
- Practice address
- 6620 Brooklyn Rd
Jackson, MI 49201-9227 - Phone
- (989) 708-7255
- NPI assigned
- Aug 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jarrett Benaway, DC
- Title
- Owner
- Phone
- (989) 708-7255
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
6620 Brooklyn Rd
Jackson, MI 49201-9227
Mailing address
2629 Vineyard LN
Brooklyn, MI 49230-8915
Phone (989) 708-7255
Other names 1
- Benaway Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6620 Brooklyn Rd
Jackson, MI 49201
Phone (517) 536-7058
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jackson, MI
- NPI 1396493151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724544000000",
"number": "1659103950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 VINEYARD LN",
"city": "BROOKLYN",
"state": "MI",
"postal_code": "492308915",
"telephone_number": "989-708-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 BROOKLYN RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019227",
"telephone_number": "989-708-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENAWAY CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-25",
"certification_date": "2024-08-25",
"status": "A",
"authorized_official_last_name": "BENAWAY",
"authorized_official_first_name": "JARRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "989-708-7255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Benaway Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; 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.