Active NPI
John W Bennett, D.C.
- Chiropractor
- Morgantown, WV
National Provider Identifier
1871704205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 539
- Practice address
- 827 Fairmont Rd
Suite 101
Morgantown, WV 26501-3857 - Phone
- (304) 292-6465
- Fax
- (304) 292-6475
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 539 | WV | Primary |
Addresses
Primary practice location
827 Fairmont Rd
Suite 101
Morgantown, WV 26501-3857
Mailing address
827 Fairmont Road
Suite 101
Morgantown, WV 26501
Phone (304) 292-6465
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | WV | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871704205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 FAIRMONT ROAD",
"address_2": "SUITE 101",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26501",
"telephone_number": "304-292-6465",
"fax_number": "304-292-6475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 FAIRMONT RD",
"address_2": "SUITE 101",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265013857",
"telephone_number": "304-292-6465",
"fax_number": "304-292-6475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WV",
"license": "539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.