Individual provider Active NPI

Benjamin Lanz, DC

  • Chiropractor
  • Conway, AR
National Provider Identifier
1760268650
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16396 Issued in AR
Practice address
170 Exchange Ave
Conway, AR 72032-7802
Phone
(512) 774-9723
NPI assigned
Sep 6, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16396 AR Primary

Addresses

Primary practice location

170 Exchange Ave
Conway, AR 72032-7802

Mailing address

596 W Republican Rd
Greenbrier, AR 72058-9037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250321001933 TX Practitioner - Chiropractic 1456873165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Integrated Medical PLLCGroup PAC ID 5193113611, 14 clinicians

Practice addresses (Care Compare)

2201 Double Creek Dr
Suite 4001
Round Rock, TX 78664-3843
Phone (512) 630-0060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16396ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Integrated Medical PLLC Chiropractor CurrentSince Jan 16, 2025 Accepting new patients

Locations

101 Cooperative Way
Ste 235
Georgetown, TX 78626
Phone (512) 630-0060

2201 Double Creek Dr
Ste 4001
Round Rock, TX 78664
Phone (512) 630-0060

1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1760268650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 W REPUBLICAN RD",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 EXCHANGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327802",
            "telephone_number": "512-774-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZ",
        "first_name": "BENJAMIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.