Organization Active NPI

Benton Family Healthcare LLC

  • Chiropractor
  • Terre Haute, IN
National Provider Identifier
1942754445
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002917A Issued in IN
Legal business name
BENTON FAMILY HEALTHCARE LLC
Practice address
4320 S 7TH St
Terre Haute, IN 47802-4301
Phone
(812) 299-7000
Fax
(812) 299-7001
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. Jennifer Benton, D.C.NPI 1164763876
Title
Owner
Phone
(812) 299-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002917A IN Primary

Addresses

Primary practice location

4320 S 7TH St
Terre Haute, IN 47802-4301

Mailing address

4320 S 7TH St
Terre Haute, IN 47802-4301
Phone (812) 299-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160915000063 IN Part B Supplier - Clinic/Group Practice 7214223411 Receives reassigned benefits from 1 practitioner
Practice locations: Terre Haute, IN

National Provider Directory

National Provider Directory

Locations

3128 Poplar St
Terre Haute, IN 47803
Phone (812) 232-3718

324 S 25th St
Terre Haute, IN 47803
Phone (812) 239-2244

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1942754445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-299-7000",
            "fax_number": "812-299-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024301",
            "telephone_number": "812-299-7000",
            "fax_number": "812-299-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-299-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002917A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.