Individual provider Active NPI

Benjamin J Dichiara, D.C.

  • Independent Medical Examiner Chiropractor
  • Metairie, LA
National Provider Identifier
1679705834
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
1518 Issued in LA
Practice address
200 Paris Ave
Metairie, LA 70005-3018
Phone
(504) 321-0411
Fax
(504) 321-0412
NPI assigned
Aug 20, 2009
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Chiropractor 111NI0013X 1518 LA Primary

Addresses

Primary practice location

200 Paris Ave
Metairie, LA 70005-3018

Mailing address

1018 Whitetail Dr
Mandeville, LA 70448-1996
Phone (504) 321-0411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000987 LA Practitioner - Chiropractic 6406041110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Veterans Blvd
Suite 130
Metairie, LA 70005-4950
Phone (504) 232-4562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BG4G LLC CurrentSince Feb 16, 2015 Accepting new patients

Locations

594 Asbury Dr
Ste A
Mandeville, LA 70471
Phone (985) 674-4170

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1679705834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 WHITETAIL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704481996",
            "telephone_number": "504-321-0411",
            "fax_number": "504-321-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARIS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053018",
            "telephone_number": "504-321-0411",
            "fax_number": "504-321-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHIARA",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "LA",
            "license": "1518",
            "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 Oct 15, 2024; 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.