Individual provider Active NPI

Benjamin Haynes, DC

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1801306717
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4816 Issued in NC
Practice address
19315 W Catawba Ave Ste 100
Cornelius, NC 28031-5637
Phone
(704) 896-1811
Fax
(704) 896-1812
NPI assigned
Oct 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4816 NC Primary

Addresses

Primary practice location

19315 W Catawba Ave Ste 100
Cornelius, NC 28031-5637

Mailing address

19315 W Catawba Ave Ste 100
Cornelius, NC 28031-5637
Phone (704) 896-1811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122000285 NC Practitioner - Chiropractic 5698032928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Active Chiropractic Rehab and AcupunctureGroup PAC ID 9537532536, 2 clinicians

Practice addresses (Care Compare)

519 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 380-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic Rehab and Acupuncture Chiropractor CurrentSince Nov 1, 2022 Accepting new patients

Locations

519 Brookdale Dr
Statesville, NC 28677
Phone (704) 380-2800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1801306717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19315 W CATAWBA AVE STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315637",
            "telephone_number": "704-896-1811",
            "fax_number": "704-896-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19315 W CATAWBA AVE STE 100",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315637",
            "telephone_number": "704-896-1811",
            "fax_number": "704-896-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.

Verify at the official NPI Registry.