KENNETH O BENNETT DC
NPI 1457345522
Chiropractor in Chicago, IL

Q: What is Kenneth Bennett's NPI number?

The NPI number for Kenneth Bennett is 1457345522. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Kenneth Bennett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bennett was last updated on June 19, 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.

Active since September 06, 2005

747 N LA SALLE DR STE 600E, CHICAGO, IL 60654(312) 692-1867 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kenneth O Bennett Dc NPPES

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

KENNETH O BENNETT DC (NPI 1457345522) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038010224) and active in the NPI registry since September 2005. He is a graduate of Other (2004).

NPPES Registry Identity

NPI1457345522

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameKENNETH O BENNETTCredential: DC

Location Address747 N LA SALLE DR STE 600EChicago, IL 60654-5089

Mailing Address6033 N Sheridan Rd Apt 18dChicago, IL 60660-3030 · (708) 250-1682

Phone(312) 692-1867

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 6, 2005

Last NPPES UpdateJune 19, 2023

NPPES CertifiedJune 19, 2023

✔ NPI 1457345522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038010224

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.

747 N LA SALLE DR STE 600E, Chicago, IL 60654

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth O Bennett Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183688625

PECOS Enrollment IDI20041115001239

Medicare Billing Reassignment

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

Grateful Health And Wellness Center, PLLC

28 mi

Chiropractor

747 N. LASALLE, SUITE 600E
Chicago, IL 60654

Reassigned Medicare billing, Illinois enrollment

NPI 1285418095 (312) 692-1867

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 2

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.

372 services56 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

136 services38 patients

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 Kenneth Bennett's NPI number?

The NPI number for Kenneth Bennett is 1457345522. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Kenneth Bennett located?

Kenneth Bennett practices at 747 N La Salle Dr Ste 600E, Chicago, IL 60654. The listed phone number is (312) 692-1867.

What is Kenneth Bennett's specialty?

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

Is Kenneth Bennett enrolled in Medicare?

Yes. Kenneth Bennett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Bennett reassigns Medicare benefits to Grateful Health And Wellness Center, PLLC (Chicago, IL). 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 Kenneth Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Bennett was last updated on June 19, 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.