JORDAN DANIEL BENTON DC
NPI 1457053738
Chiropractor in Eureka, MO

Active since March 20, 2023
113 W 5TH ST, EUREKA, MO 63025(636) 938-9310(636) 938-3204 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jordan Daniel Benton Dc NPPES

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

JORDAN DANIEL BENTON DC (NPI 1457053738) is an individual chiropractor in Eureka, Missouri, licensed in Missouri (2023001247) and active in the NPI registry since March 2023. He is a graduate of Logan College Of Chiropractic (2022).

NPPES Registry Identity

NPI1457053738
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJORDAN DANIEL BENTONCredential: DC
Location Address113 W 5TH STEureka, MO 63025-1109
Mailing Address113 W 5th StEureka, MO 63025-1109 · (636) 938-9310 · Fax (636) 938-3204
Fax(636) 938-3204
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2022
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1457053738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2023001247
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.
113 W 5TH ST, Eureka, MO 63025

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Daniel Benton Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800255035
PECOS Enrollment IDI20230706003562

Medicare Billing Reassignment

Medicare enrollment records show Jordan Benton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
113 WEST 5TH ST
Eureka, MO 63025
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
110 services12 patients

Other Providers at the Same Location NPPES 7

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

Chiropractor
113 W 5TH ST
EUREKA, MO 63025
Clinic/Center (Multi-Specialty)
113 W 5TH ST
EUREKA, MO 63025
Chiropractor
113 W 5TH ST
EUREKA, MO 63025
Chiropractor
113 W 5TH ST
EUREKA, MO 63025
Chiropractor
113 W 5TH ST
EUREKA, MO 63025
Chiropractor
113 W 5TH ST
EUREKA, MO 63025
Physical Therapist
113 W 5TH ST
EUREKA, MO 63025

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 Jordan Benton's NPI number?

The NPI number for Jordan Benton is 1457053738. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jordan Benton located?

Jordan Benton practices at 113 W 5th St, Eureka, MO 63025. The listed phone number is (636) 938-9310.

What is Jordan Benton's specialty?

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

Is Jordan Benton enrolled in Medicare?

Yes. Jordan Benton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Benton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Benton reassigns Medicare benefits to Comprehensive Chiropractic PC (Eureka, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Benton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Benton accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan and UnitedHealthcare list Jordan Benton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Benton was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.