Active NPI
Benjamin Nelson, D.C.
- Chiropractor
- Palm Coast, FL
National Provider Identifier
1932698099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12349
- Practice address
- 250 Palm Coast Pkwy NE Unit 504
Palm Coast, FL 32137-8288 - Phone
- (386) 225-4291
- NPI assigned
- May 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH12349 | FL | Primary |
Addresses
Primary practice location
250 Palm Coast Pkwy NE Unit 504
Palm Coast, FL 32137-8288
Mailing address
2942 Oak Lea Dr
South Daytona, FL 32119-8565
Phone (217) 825-5355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12349 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ben House Call Chiropractic | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- South Daytona, FL
- NPI 1295381184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1932698099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2942 OAK LEA DR",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198565",
"telephone_number": "217-825-5355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PALM COAST PKWY NE UNIT 504",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378288",
"telephone_number": "386-225-4291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "BENJAMIN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.