Organization Active NPI

Bender Chiropractic and Wellness Center Inc

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1780789263
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1193 Issued in CT
Legal business name
BENDER CHIROPRACTIC AND WELLNESS CENTER INC
Practice address
1200 High Ridge Rd
Stamford, CT 06905-1223
Phone
(203) 967-8888
NPI assigned
Sep 13, 2006
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Dr. Scott R. Bender, M.D.NPI 1922113588
Title
Doctor/Chiropractor
Phone
(203) 967-8888

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 1193 CT Primary

Addresses

Primary practice location

1200 High Ridge Rd
Stamford, CT 06905-1223

Mailing address

1200 High Ridge Rd
Stamford, CT 06905-1223
Phone (203) 967-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000808 CT Part B Supplier - Clinic/Group Practice 3173692712 Receives reassigned benefits from 3 practitioners
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

111 High Ridge Rd
Stamford, CT 06905
Phone (203) 322-4199

1200 High Ridge Rd
Ste 3
Stamford, CT 06905
Phone (203) 967-8888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1780789263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051223",
            "telephone_number": "203-967-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051223",
            "telephone_number": "203-967-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDER CHIROPRACTIC AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DOCTOR/CHIROPRACTOR",
        "authorized_official_telephone_number": "203-967-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.

Verify at the official NPI Registry.