Individual provider Active NPI

Thomas M Benhard, D.C.

  • Chiropractor
  • Ogden, UT
National Provider Identifier
1851476428
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
952871711202 Issued in UT
Practice address
1405 Washington Blvd
Ogden, UT 84404-5746
Phone
(801) 394-8866
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 952871711202 UT Primary

Addresses

Primary practice location

1405 Washington Blvd
Ogden, UT 84404-5746

Mailing address

1405 Washington Blvd
Ogden, UT 84404-5746
Phone (801) 394-8866

Other identifiers 1

IdentifierTypeStateIssuer
870395551005MedicaidUT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000557 UT Practitioner - Chiropractic 1759564099

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1405 Washington Blvd
Ogden, UT 84404-5746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
952871711202UTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1851476428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045746",
            "telephone_number": "801-394-8866",
            "fax_number": "385-206-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844045746",
            "telephone_number": "801-394-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENHARD",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "952871711202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870395551005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.