DR. SEAN RAY BENNINGTON (DC) – Chiropractor, NPI 1124285622

DR. SEAN RAY BENNINGTON (DC) is a healthcare provider. based in Overland park, Kansas. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. T01901 (KS). The NPI Number for DR. SEAN RAY BENNINGTON (DC) is 1124285622

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SEAN RAY BENNINGTON (DC)
NPI
1124285622
Phone
(913) 284-6769
Address
11542 W. 95TH ST.
Enumeration Date
21 May 2008
Deactivation Date
3 August 2020
Reactivation Date
23 August 2023
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
3526662222111
Graduation Year
2008 (18 years ago)
PAC ID
1456543347
Group Practice PAC ID
6406844133
Professional Enrollment ID
I20230927001335
Address ID
FL346061140SP8466XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

784 CHIROPRACTIC in KS

Provider Addresses for DR. SEAN RAY BENNINGTON (DC)

  • 11542 W. 95TH ST.

    OVERLAND PARK, KS 66214

    Phone: (913) 284-6769

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230927001335IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions34667$0
98940Chiropractic manipulative treatment, 1-2 spinal regions12927$0
View full utilization report →

Insurance plans in this area (ZIP 66214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406844133View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL
-FL
Physician AssistantFL
Physical Therapist In Private PracticeFL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL
-FL
C H I R O P R A C T I CFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What identifier follows DR. SEAN RAY BENNINGTON (DC) across health systems?
The NPI 1124285622 uniquely identifies DR. SEAN RAY BENNINGTON (DC) in U.S. healthcare data.
Should I treat DR. SEAN RAY BENNINGTON (DC) as an active provider?
Patients and plans typically see DR. SEAN RAY BENNINGTON (DC) as active in the national extract.
What does the directory say DR. SEAN RAY BENNINGTON (DC) does?
Insurance directories may phrase it differently, but here DR. SEAN RAY BENNINGTON (DC) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SEAN RAY BENNINGTON (DC)?
The directory associates DR. SEAN RAY BENNINGTON (DC) with Overland Park, Kansas. Check all listed addresses for suites or satellite offices.
Can I export DR. SEAN RAY BENNINGTON (DC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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