Aaron Michael Benzine, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5516-12 Issued in WI

Practice address

W1185 McCrae Rd
Fall River, WI 53932-9575

Phone

(920) 484-6444

NPI assigned

Jun 22, 2015

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1932581410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1468 STATE ROAD 16",
            "city": "FALL RIVER",
            "state": "WI",
            "postal_code": "539329547",
            "telephone_number": "920-350-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1185 MCCRAE RD",
            "city": "FALL RIVER",
            "state": "WI",
            "postal_code": "539329575",
            "telephone_number": "920-484-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W1468 State Road 16",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "WI",
            "postal_code": "539329547",
            "country_code": "US",
            "telephone_number": "920-350-2775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENZINE",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5516-12",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Fall River Community Fire District (Fall River Fire & EMS Department)
• Fall River School District
• Pamela Susan Fisk, RN
• Lisa Lynn Hanson-Roche
• Cally Jane Johnson

• Chiropractor in Fall River, WI
• Providers in Fall River, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.