Individual provider Active NPI

Robert Scott Benningfield, D.C.

  • Chiropractor
  • Mooresville, NC
National Provider Identifier
1891702221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3501 Issued in NC
Practice address
2785 Charlotte Hwy Ste 21
Suite 23
Mooresville, NC 28117-9510
Phone
(704) 799-8060
Fax
(704) 799-8131
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3501 NC Primary

Addresses

Primary practice location

2785 Charlotte Hwy Ste 21
Suite 23
Mooresville, NC 28117-9510

Mailing address

123 Southhaven Dr
Mooresville, NC 28117-7563
Phone (704) 799-8060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061213000507 NC Practitioner - Chiropractic 9436158771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Benningfield Family Chiropractic PLLCGroup PAC ID 9739247248, 2 clinicians

Practice addresses (Care Compare)

2785 Charlotte Hwy
Mooresville, NC 28117-9510
Phone (704) 799-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3501NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Benningfield Family Chiropractic PLLC Chiropractor CurrentSince Sep 27, 2006 Accepting new patients

Locations

2785 Charlotte Hwy
Ste 23
Mooresville, NC 28117
Phone (704) 799-8060

2785 Charlotte Hwy
Ste 23
Mooresville, NC 28117
Phone (704) 799-8060

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891702221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SOUTHHAVEN DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177563",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 CHARLOTTE HWY STE 21",
            "address_2": "SUITE 23",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179510",
            "telephone_number": "704-799-8060",
            "fax_number": "704-799-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNINGFIELD",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.