Active NPI
Scott Andrew Bentson, D.C.
- Chiropractor
- Tucson, AZ
National Provider Identifier
1871597237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3764
- Practice address
- 5602 E 5TH St
Tucson, AZ 85711-2449 - Phone
- (520) 747-2724
- Fax
- (520) 747-5845
- NPI assigned
- Jun 13, 2005
- 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 | 3764 | AZ | Primary |
Addresses
Primary practice location
5602 E 5TH St
Tucson, AZ 85711-2449
Mailing address
5602 E 5TH St
Tucson, AZ 85711-2449
Phone (520) 747-2724
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1Z3244 | Other | AZ | HEALTHNET |
| SB1010990 | Other | AZ | ASHN |
| AZ0081720 | Other | AZ | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 3764 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871597237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5602 E 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112449",
"telephone_number": "520-747-2724",
"fax_number": "520-747-5845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5602 E 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112449",
"telephone_number": "520-747-2724",
"fax_number": "520-747-5845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTSON",
"first_name": "SCOTT",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "3764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1Z3244",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "SB1010990",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0081720",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.