Benjamin Leon Schrock, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

3405-06 Issued in MS

Practice address

1721 Medical Park Dr
Suite 201
Biloxi, MS 39532-2109

Phone

(228) 267-3511

NPI assigned

Sep 22, 2006

Last updated

Jul 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Mississippi Endodontics PA

  • Endodontics
  • Biloxi, MS
  • NPI 1194052373
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1003916826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322109",
            "telephone_number": "601-529-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MEDICAL PARK DR",
            "address_2": "SUITE 201",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322109",
            "telephone_number": "228-267-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROCK",
        "first_name": "BENJAMIN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MS",
            "license": "3405-06",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150563",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anton Scannaliato, R. PH
• Katie Scarberry
• Susan Kay Schiller
• Allison Everett Schisler, OT
• Richard Charles Schmidt, M.D.
• Emily Mollere Schulz, RN
• Amanda Anderson Scorsone, NP
• Scott T. Ballard D.C. LLC (Biloxi Chiropractic Clinic)
• Darneka Scott
• Victoria Leonard Scott, LPC

• Endodontics in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Endodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.