Organization Active NPI

Benson Chiropractic Inc

  • Chiropractor
  • Fort Madison, IA
National Provider Identifier
1891076113
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AO5520 Issued in IA
Legal business name
BENSON CHIROPRACTIC INC
Practice address
2150 302ND Ave
Fort Madison, IA 52627-9708
Phone
(319) 372-4204
Fax
(319) 376-1204
NPI assigned
Aug 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Dr. Timothy S Benson, D.C.NPI 1013969724
Title
President
Phone
(319) 372-4204

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 AO5520 IA Primary

Addresses

Primary practice location

2150 302ND Ave
Fort Madison, IA 52627-9708

Mailing address

2150 302ND Ave
Fort Madison, IA 52627-9708
Phone (319) 372-4204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000415 IA Part B Supplier - Clinic/Group Practice 1951572411 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Madison, IA

National Provider Directory

National Provider Directory

Locations

2150 302nd Ave
Fort Madison, IA 52627
Phone (319) 372-4204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1891076113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 302ND AVE",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279708",
            "telephone_number": "319-372-4204",
            "fax_number": "319-376-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 302ND AVE",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526279708",
            "telephone_number": "319-372-4204",
            "fax_number": "319-376-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-372-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Madison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.