BENNER CHIROPRACTIC
NPI 1467636704
Chiropractor in Phoenix, AZ

Active since December 21, 2007
10910 N TATUM BLVD, 103, PHOENIX, AZ 85028(602) 870-3353 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Benner Chiropractic NPPES

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

BENNER CHIROPRACTIC (NPI 1467636704) is a healthcare organization registered as a chiropractor in Phoenix, Arizona and active in the NPI registry since December 2007. The organization lists Timothy S Benner, Doctor, as its authorized official.

NPPES Registry Identity

NPI1467636704
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTIMOTHY S BENNER, DC, PC
Location Address10910 N TATUM BLVD, 103Phoenix, AZ 85028-3080
Mailing Address10910 N Tatum Blvd, 103Phoenix, AZ 85028-3080 · (602) 870-3353
Organization SubpartNo
Authorized OfficialTimothy S BennerDoctor · (602) 870-3353
Enumeration DateDecember 21, 2007
✔ NPI 1467636704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 4210
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.
10910 N TATUM BLVD, Phoenix, AZ 85028

Other Names 1

Doing Business AsBenner Chiropractic

Other Identifiers 1

Medicare PINZ76205AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benner Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Benner Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1730256777
10910 N TATUM BLVD SUITE 103
Phoenix, AZ 85028
(602) 870-3353
Same address

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

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 Timothy S Benner, Dc, PC's NPI number?

The NPI number for Timothy S Benner, Dc, PC is 1467636704. It was assigned to this organization in the NPPES registry on December 21, 2007. The provider is doing business as Benner Chiropractic.

Where is Timothy S Benner, Dc, PC located?

Timothy S Benner, Dc, PC is located at 10910 N Tatum Blvd 103, Phoenix, AZ 85028. The listed phone number is (602) 870-3353.

What is Timothy S Benner, Dc, PC's specialty?

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

Is Timothy S Benner, Dc, PC enrolled in Medicare?

Yes. Timothy S Benner, Dc, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timothy S Benner, Dc, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Timothy S Benner, Dc, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Timothy S Benner, Dc, PC was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.