Benicomp, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

BENICOMP, INC.

Practice address

8310 Clinton Park Drive
Fort Wayne, IN 46825-3171

Phone

(260) 482-7400

Fax

(260) 469-2984

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Douglas J. Short

Title

President/Ceo

Phone

(260) 482-7400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1760779169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 CLINTON PARK DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253171",
            "telephone_number": "260-482-7400",
            "fax_number": "260-469-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 CLINTON PARK DRIVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253171",
            "telephone_number": "260-482-7400",
            "fax_number": "260-469-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENICOMP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "260-482-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bellinger, LMHC
• Christopher D Belschner, P.A.
• Michelle M. Belville
• Anna Rebecca Bender, MS, RDN, LD
• Bengal Medical Care PC
• Victoria Benjamin-Booker
• Chance Benner, DO
• Jennifer Bennett-Schaffner, LCSW
• Carol S. Bennett, P.T.
• Cheryl Bennett, MA, LMHC, LCAC

• Health Educator in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Health Educator in Indiana

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