Cornerstone Family Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05204 Issued in KS

Legal business name

CORNERSTONE FAMILY WELLNESS CENTER, LLC

Practice address

11542 W 95TH St
Overland Park, KS 66214-1865

Phone

(913) 492-2225

Fax

(913) 492-2226

NPI assigned

Jan 3, 2011

Last updated

May 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Bennington, DCNPI 1124285622

Title

Owner / DC

Phone

(913) 284-6769

Specialties & licenses 1

Addresses

Locations

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.

• Sean Ray Bennington, DC

  • Chiropractor
  • Overland Park, KS
  • NPI 1124285622
  NPD Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1699079855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11542 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141865",
            "telephone_number": "913-492-2225",
            "fax_number": "913-492-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11542 W 95TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141865",
            "telephone_number": "913-492-2225",
            "fax_number": "913-492-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BENNINGTON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER / DC",
        "authorized_official_telephone_number": "913-284-6769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.