Active NPI
Craig Richard Benton, D.C.
- Chiropractor
- Lampasas, TX
National Provider Identifier
1780698498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4199
- Practice address
- 105 N Key Ave
Lampasas, TX 76550-1842 - Phone
- (512) 556-8223
- Fax
- (512) 556-4150
- NPI assigned
- Jul 28, 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 | 4199 | TX | Primary |
Addresses
Primary practice location
105 N Key Ave
Lampasas, TX 76550-1842
Mailing address
105 N Key Ave
Lampasas, TX 76550-1842
Phone (512) 556-8223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012973-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110113000113 | TX | Practitioner - Chiropractic | 6709075385 | Practice locations: Lampasas, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 N Key Ave
Lampasas, TX 76550-1842
Phone (512) 556-8223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4199 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780698498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N KEY AVE",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "765501842",
"telephone_number": "512-556-8223",
"fax_number": "512-556-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N KEY AVE",
"city": "LAMPASAS",
"state": "TX",
"postal_code": "765501842",
"telephone_number": "512-556-8223",
"fax_number": "512-556-4150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "CRAIG",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012973-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lampasas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.