Active NPI
Daniel A Bennett, D.C.
- Chiropractor
- Black Mountain, NC
National Provider Identifier
1740587310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4160
- Practice address
- 15 Jane Jacobs Rd
Suite 202
Black Mountain, NC 28711-6306 - Phone
- (828) 664-1600
- Fax
- (828) 664-1601
- NPI assigned
- Feb 17, 2011
- Last updated
- May 21, 2015
- 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 | 4160 | NC | Primary |
Addresses
Primary practice location
15 Jane Jacobs Rd
Suite 202
Black Mountain, NC 28711-6306
Mailing address
15 Jane Jacobs Rd
Suite 202
Black Mountain, NC 28711-6306
Phone (828) 664-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5917110 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110511000479 | NC | Practitioner - Chiropractic | 9335325109 | Practice locations: Black Mountain, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Jane Jacobs Rd
Suite 202
Black Mountain, NC 28711-6308
Phone (828) 664-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1740587310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 JANE JACOBS RD",
"address_2": "SUITE 202",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287116306",
"telephone_number": "828-664-1600",
"fax_number": "828-664-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 JANE JACOBS RD",
"address_2": "SUITE 202",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287116306",
"telephone_number": "828-664-1600",
"fax_number": "828-664-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DANIEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-17",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5917110",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Black Mountain, NC
- Ryan G Bachrach, LCSW
- Ellen Dimmock Begley, LCMHC, NCC, RN
- Mary Elizabeth Begley, MA, CCC-SLP
- Taylor Bell, LCMHCA
- Caleb Bemis, P.T.
- Peggie Billodeaux
- Black Mountain Acadmey
- Black Mountain Counseling Center
- Black Mountain Family Chiropractic and Wellness Center (Black Mountain Family Chiropractic)
- Black Mountain Family Eyecare OD PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.