Active NPI
Jeremy D Bender, D.C.
- Chiropractor
- Wichita, KS
National Provider Identifier
1720173941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04869
- Practice address
- 813 W Douglas Ave
Wichita, KS 67213-4704 - Phone
- (316) 440-4052
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04869 | KS | Primary |
Addresses
Primary practice location
813 W Douglas Ave
Wichita, KS 67213-4704
Mailing address
813 W Douglas Ave
Wichita, KS 67213-4704
Phone (316) 440-4052
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062077 | Other | KS | BLUE CROSS |
| 062098 | Other | KS | ALLL OTHERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2290 N Tyler Rd
Suite 100
Wichita, KS 67205-8760
Phone (316) 721-3003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04869 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J. Willert Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Bender Chiropractic, PA | Chiropractor | Current | Accepting new patients |
Locations
813 W Douglas Ave
Wichita, KS 67213
Phone (316) 440-4052
2290 N Tyler Rd
Ste 100
Wichita, KS 67205
Phone (316) 721-0011
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.
-
- Chiropractor
- Wichita, KS
- NPI 1952945933
-
- Chiropractor
- Wichita, KS
- NPI 1083157002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1720173941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 W DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672134704",
"telephone_number": "316-440-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W DOUGLAS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672134704",
"telephone_number": "316-440-4052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "JEREMY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "04869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "062077",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLL OTHERS",
"identifier": "062098",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.