Individual provider Active NPI

Christopher Paul Benoit, D.C.

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1962592816
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2681 Issued in SC
Practice address
588 Old Mount Holly Rd
Suite G
Goose Creek, SC 29445-2814
Phone
(843) 881-6656
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2681 SC Primary

Addresses

Primary practice location

588 Old Mount Holly Rd
Suite G
Goose Creek, SC 29445-2814

Mailing address

588 Old Mount Holly Rd
Suite G
Goose Creek, SC 29445-2814
Phone (843) 881-6656

Other identifiers 2

IdentifierTypeStateIssuer
CH2681MedicaidSC
GCH147MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001523 SC Practitioner - Chiropractic 9133010937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine-Paincenter LLCGroup PAC ID 1557629797, 2 clinicians

Practice addresses (Care Compare)

5633 Rivers Ave
North Charleston, SC 29406-6022
Phone (843) 606-2412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2681SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spine-Pain Center, LLC Chiropractor CurrentSince Aug 1, 2020 Accepting new patients
Chiropractic Solutions Chiropractor PastSince Mar 22, 2004 Accepting new patients

Locations

5633 Rivers Ave
North Charleston, SC 29406
Phone (843) 606-2412

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1962592816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "address_2": "SUITE G",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-881-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "address_2": "SUITE G",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-881-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2681",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH147",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.