Active NPI
Bennamark Dental PC
- Dentist
- Chicago, IL
National Provider Identifier
1013058460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BENNAMARK DENTAL PC
- Practice address
- 2300 W Touhy Ave
Chicago, IL 60645 - Phone
- (773) 743-2544
- Fax
- (773) 743-2534
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benny B Ruz, DDS
- Title
- President
- Phone
- (773) 743-2544
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary | |
| Dentist | 122300000X | IL |
Addresses
Primary practice location
2300 W Touhy Ave
Chicago, IL 60645
Mailing address
2300 W Touhy Ave
Chicago, IL 60645
Phone (773) 743-2544
National Provider Directory
National Provider DirectoryLocations
2300 W Touhy Ave
Chicago, IL 60645
Phone (773) 743-2544
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1730466012
-
- General Practice Dentistry
- Chicago, IL
- NPI 1891072146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013058460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 W TOUHY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60645",
"telephone_number": "773-743-2544",
"fax_number": "773-743-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W TOUHY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60645",
"telephone_number": "773-743-2544",
"fax_number": "773-743-2534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENNAMARK DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUZ",
"authorized_official_first_name": "BENNY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-743-2544",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.