Active NPI
John H Bennett, DC
- Chiropractor
- Venice, FL
National Provider Identifier
1780657411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0005082
- Practice address
- 1986 Tamiami TRL S
Venice, FL 34293-5001 - Phone
- (941) 497-4222
- Fax
- (941) 497-1495
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | CH0005082 | FL | Primary |
Addresses
Primary practice location
1986 Tamiami TRL S
Venice, FL 34293-5001
Mailing address
1986 Tamiami TRL S
Venice, FL 34293-5001
Phone (941) 497-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050692300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1780657411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1986 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935001",
"telephone_number": "941-497-4222",
"fax_number": "941-497-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1986 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935001",
"telephone_number": "941-497-4222",
"fax_number": "941-497-1495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JOHN",
"middle_name": "H",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0005082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050692300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.