Individual provider Active NPI

Joan Elizabeth Benko, D.C.

  • Chiropractor
  • Safety Harbor, FL
National Provider Identifier
1699856658
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4563 Issued in FL
Practice address
132 10TH Ave N
#105
Safety Harbor, FL 34695-3407
Phone
(727) 791-9639
Fax
(727) 738-6187
NPI assigned
Oct 18, 2006
Last updated
Sep 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH4563 FL Primary

Addresses

Primary practice location

132 10TH Ave N
#105
Safety Harbor, FL 34695-3407

Mailing address

3697 Fremantle Dr
Palm Harbor, FL 34684-3070
Phone (727) 791-9639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH4563FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Raveling Chiropractic Center PA Chiropractor PastSince Jan 2, 2001 Accepting new patients
Garapola and Associates Chiropractic PA Chiropractor PastSince Nov 13, 2022 Accepting new patients

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, 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1699856658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3697 FREMANTLE DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843070",
            "telephone_number": "727-791-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 10TH AVE N",
            "address_2": "#105",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346953407",
            "telephone_number": "727-791-9639",
            "fax_number": "727-738-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKO",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.