Active NPI
Derek Michael Benson, DC
- Chiropractor
- Highland Village, TX
National Provider Identifier
1851829774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13364
- Practice address
- 2150 Justin Rd Ste 100
Highland Village, TX 75077-7126 - Phone
- (469) 763-3221
- Fax
- (469) 763-3222
- NPI assigned
- May 24, 2017
- Last updated
- May 24, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 13364 | TX | Primary |
Addresses
Primary practice location
2150 Justin Rd Ste 100
Highland Village, TX 75077-7126
Mailing address
7948 Davis Blvd Ste 200
North Richland Hills, TX 76182-6954
Phone (817) 697-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13364 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1851829774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7948 DAVIS BLVD STE 200",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761826954",
"telephone_number": "817-697-2560",
"fax_number": "817-577-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 JUSTIN RD STE 100",
"city": "HIGHLAND VILLAGE",
"state": "TX",
"postal_code": "750777126",
"telephone_number": "469-763-3221",
"fax_number": "469-763-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "DEREK",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-24",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.