NPIMap

Organization Active NPI

Bennese Family Chiropractic PC

Doing business as Synchrony Chirocare

  • Chiropractor
  • Enola, PA
National Provider Identifier
1861429490
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008015L Issued in PA
Legal business name
BENNESE FAMILY CHIROPRACTIC PC
Doing business as
Synchrony Chirocare
Practice address
30 East Shady Lane
Enola, PA 17025
Phone
(717) 732-2222
Fax
(717) 732-9811
NPI assigned
Jun 27, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Michael G BenneseNPI 1093770695
Title
President
Phone
(717) 732-2222

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008015L PA Primary

Addresses

Primary practice location

30 East Shady Lane
Enola, PA 17025

Mailing address

30 East Shady Lane
Enola, PA 17025
Phone (717) 732-2222

Other names 1

  • Synchrony Chirocare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000032 PA Part B Supplier - Clinic/Group Practice 6305841669 Receives reassigned benefits from 3 practitioners
Practice locations: Enola, PA

National Provider Directory

National Provider Directory

Locations

30 E Shady Ln
Ste B
Enola, PA 17025
Phone (717) 732-2222

433 N Enola Rd
Enola, PA 17025
Phone (717) 732-2222

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1861429490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST SHADY LANE",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "17025",
            "telephone_number": "717-732-2222",
            "fax_number": "717-732-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EAST SHADY LANE",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "17025",
            "telephone_number": "717-732-2222",
            "fax_number": "717-732-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNESE FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "BENNESE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-732-2222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008015L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synchrony Chirocare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enola, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.