Individual provider Active NPI

Benjamin Levi Voth, D.C.

  • Chiropractor
  • Coos Bay, OR
National Provider Identifier
1922232495
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3928 Issued in OR
Practice address
1957 Thompson Rd Ste B
Coos Bay, OR 97420-2031
Phone
(541) 266-8000
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3928 OR Primary

Addresses

Primary practice location

1957 Thompson Rd Ste B
Coos Bay, OR 97420-2031

Mailing address

1957 Thompson Rd Ste B
Coos Bay, OR 97420-2031
Phone (541) 266-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110603000118 OR Practitioner - Chiropractic 6901083799 Practice locations: Coos Bay, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1957 Thompson Rd
Suite B
Coos Bay, OR 97420-2040
Phone (541) 266-8000

1957 Thompson Rd B
Coos Bay, OR 97420-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3928ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1922232495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE B",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202031",
            "telephone_number": "541-266-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 THOMPSON RD STE B",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202031",
            "telephone_number": "541-266-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTH",
        "first_name": "BENJAMIN",
        "middle_name": "LEVI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.