Active NPI
Benassi Chiropractic, P.a.
- Chiropractor
- Woodbury, MN
National Provider Identifier
1770780504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2985
- Legal business name
- BENASSI CHIROPRACTIC, P.A.
- Practice address
- 731 Bielenberg Dr
Suite 101
Woodbury, MN 55125-1700 - Phone
- (651) 578-9191
- Fax
- (651) 702-7499
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina M. Benassi, D.C., F.A.C.O.
- Title
- President
- Phone
- (651) 578-9191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2985 | MN | Primary |
Addresses
Primary practice location
731 Bielenberg Dr
Suite 101
Woodbury, MN 55125-1700
Mailing address
731 Bielenberg Dr
Suite 101
Woodbury, MN 55125-1700
Phone (651) 578-9191
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3335029 | Other | MN | MN TAX ID |
| 1B02B20BE | Other | MN | BCBS |
| 231918 | Other | MN | CHIRO CARE |
| 498528100 | Medicaid | MN | |
| 7740072 | Other | MN | AETNA |
| 1619954849 | Other | MN | INDIVIDUAL NPI |
| 02B20BE | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8650 Hudson Blvd N
Ste 205
Lake Elmo, MN 55042
Phone (651) 578-9191
731 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 578-9191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodbury, MN
- NPI 1619954849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317686400000",
"number": "1770780504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 BIELENBERG DR",
"address_2": "SUITE 101",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251700",
"telephone_number": "651-578-9191",
"fax_number": "651-702-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 BIELENBERG DR",
"address_2": "SUITE 101",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251700",
"telephone_number": "651-578-9191",
"fax_number": "651-702-7499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENASSI CHIROPRACTIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2011-10-04",
"status": "A",
"authorized_official_last_name": "BENASSI",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-578-9191",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C., F.A.C.O."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "2985",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN TAX ID",
"identifier": "3335029",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1B02B20BE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIRO CARE",
"identifier": "231918",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498528100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7740072",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1619954849",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02B20BE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.