Individual provider Active NPI

Benjamin C Delong, D.C.

  • Chiropractor
  • Waterford, PA
National Provider Identifier
1932369436
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010056 Issued in PA
Practice address
413 High St
Waterford, PA 16441-8301
Phone
(315) 651-6387
NPI assigned
Jun 10, 2008
Last updated
Apr 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010056 PA Primary

Addresses

Primary practice location

413 High St
Waterford, PA 16441-8301

Mailing address

PO Box 1111
Waterford, PA 16441-1111
Phone (315) 651-6387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000222 PA Practitioner - Chiropractic 6901935261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Center of Venango CountyGroup PAC ID 5991712085, 3 clinicians

Practice addresses (Care Compare)

908 Liberty St
Franklin, PA 16323-1179
Phone (814) 432-5423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Center of Venango County Chiropractor CurrentSince Jan 16, 2012 Accepting new patients
Bespoke Chiropractic LLC Chiropractor PastSince Jul 6, 2021 Accepting new patients

Locations

908 Liberty St
Franklin, PA 16323
Phone (814) 432-3496

Organizations & group practices 2

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1932369436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164411111",
            "telephone_number": "315-651-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 HIGH ST",
            "city": "WATERFORD",
            "state": "PA",
            "postal_code": "164418301",
            "telephone_number": "315-651-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONG",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.