CRAIG J BENTON (NPI# 1477658755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477658755 |
| Entity Type | Individual |
| Full Name | CRAIG J BENTON |
| Credential | DC |
| Practice Address |
687 Tamiami Trl Port Charlotte FL 33953-2903 |
| Practice Telephone | 9417439904 |
| Practice Fax Number | 9417439905 |
| Mailing Telephone | 9417439904 |
| Mailing Fax Number | 9417439905 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH7982 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID | 53972Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780698498 | Craig Richard Benton | Chiropractor | 105 N Key Ave, Lampasas, TX 76550-1842 | 2006-07-28 |
| 1215311568 | Craig Benton | Social Worker | 3405 W Wendover Ave Ste F, Greensboro, NC 27407-1525 | 2015-07-16 |
| Street Address |
687 TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33953-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346306271 | Suncoast Chiropractic and Acupuncture Pa | Chiropractor | 687 Tamiami Trl, Port Charlotte, FL 33953-2903 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376079368 | Dawn Olson | Developmental Therapist | 14299 Silver Lakes Cir, Port Charlotte, FL 33953 | 2017-05-11 |
| 1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
| 1528069192 | Cardinal Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 779 Tamiami Trail, Ste 8, Port Charlotte, FL 33953 | 2005-08-09 |
| 1720210404 | Elaine F Pyzikiewicz | Massage Therapist | 474 Lomond Dr, Port Charlotte, FL 33953-1526 | 2009-08-14 |
| 1013313212 | Kathleen Spencer | Speech-Language Pathologist | 15152 Buswell Ave, Port Charlotte, FL 33953-2007 | 2014-11-15 |
| 1235426719 | Christina M Parker | Nurse Practitioner | 430 Border St, Port Charlotte, FL 33953-2015 | 2011-07-05 |
| 1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
| 1326552001 | Vladislav Zalevskiy | Massage Therapist | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2017-11-16 |
| 1154502284 | Pascal Bordy Md Pa | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-11-16 |
| 1497296891 | Cody Bishop | Physical Therapy Assistant | 708 Bowman Ter, Port Charlotte, FL 33953-2133 | 2017-03-17 |
| Find all providers in zip 33953 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892749 | Charlotte County Chiropractic Clinic LLC | Chiropractor | 4065 Tamiami Trl, Port Charlotte, FL 33952-9212 | 2018-02-26 |
| 1851740955 | Craig J Burgardt | Chiropractor | 2886 Tamiami Trl Ste 6, Port Charlotte, FL 33952-5162 | 2016-06-09 |
| 1124369178 | Chase Stephen Fifarek | Chiropractor | 12479 S Access Rd Ste 1, Port Charlotte, FL 33981-6206 | 2013-03-14 |
| 1881994622 | Joshua Andrew Imig | Chiropractor | 2301 Tamiami Trl Ste A, Port Charlotte, FL 33952-3907 | 2010-10-27 |
| 1528384880 | Crack It Chiropractic LLC | Chiropractor | 531 Tamiami Trl, Unit 5, Port Charlotte, FL 33953-2199 | 2010-04-12 |
| 1750526380 | Defilippis Chiropractic Inc. | Chiropractor | 18350 Murdock Circle, Suite 103, Port Charlotte, FL 33948-1024 | 2008-12-11 |
| 1770763757 | Denise E Orazi | Chiropractor | 2273 Beacon Dr, Port Charlotte, FL 33952-5664 | 2007-11-07 |
| 1952597080 | Matthew Lawrence Defilippis | Chiropractor | 19076 Cochran Blvd, Port Charlotte, FL 33948-2044 | 2007-09-21 |
| 1447446828 | Chiro-med Health and Rehab Pl | Chiropractor | 12479 S Access Rd, Suite 1, Port Charlotte, FL 33981-6206 | 2007-09-19 |
| 1306039607 | William Purcell | Chiropractor | 4120 Tamiami Trl Ste D2, Port Charlotte, FL 33952-9241 | 2007-08-21 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33953 |
Please comment or provide details below to improve the information on CRAIG J BENTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.