DR. BENJAMIN JOSEPH DEGENHARDT DC
NPI 1114657053
Chiropractor in Eagan, MN

Active since June 14, 2022Accepts Medicare Assignment
1565 THOMAS CENTER DR, EAGAN, MN 55122(651) 734-6959 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Joseph Degenhardt Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENJAMIN JOSEPH DEGENHARDT DC (NPI 1114657053) is an individual chiropractor in Eagan, Minnesota, licensed in Minnesota (6986) and active in the NPI registry since June 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1114657053
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BENJAMIN JOSEPH DEGENHARDTCredential: DC
Location Address1565 THOMAS CENTER DREagan, MN 55122-2642
Mailing Address1555 Quarry Rd Apt 443Eagan, MN 55121-3532 · (608) 769-1386
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
Last NPPES UpdateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
NPI 1114657053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 6986
Definition
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.
1565 THOMAS CENTER DR, Eagan, MN 55122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Joseph Degenhardt Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507390291
PECOS Enrollment IDI20241118002539

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
1565 THOMAS CENTER DR
EAGAN, MN 55122
Chiropractor
1565 THOMAS CENTER DR
EAGAN, MN 55122
Chiropractor
1565 THOMAS CENTER DR
EAGAN, MN 55122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Degenhardt's NPI number?

The NPI number for Benjamin Degenhardt is 1114657053. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Benjamin Degenhardt located?

Benjamin Degenhardt practices at 1565 Thomas Center Dr, Eagan, MN 55122. The listed phone number is (651) 734-6959.

What is Benjamin Degenhardt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Benjamin Degenhardt enrolled in Medicare?

Yes. Benjamin Degenhardt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Benjamin Degenhardt was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.