Michael A Bender, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A-16095 Issued in IL

Practice address

217 N McLean Blvd
Elgin, IL 60123-3270

Phone

(847) 888-4333

Fax

(847) 289-6572

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003035692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MCLEAN BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601233270",
            "telephone_number": "847-888-4333",
            "fax_number": "847-289-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MCLEAN BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601233270",
            "telephone_number": "847-888-4333",
            "fax_number": "847-289-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A-16095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "363237627",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Beckman-Page, M.A., ABD
• Roberta Lynn Bednarski
• Rajan Behal, M.D.
• Misty Dawn Behnken, PT
• Jennifer Bell
• Darian Reece Bendis
• Karen Judith Benitez
• Anthony J Bennett, D.D.S.
• Cheryl Ruth Bennett, LPC
• Rachael L Benson, PA-C

• All providers in Elgin, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.