Organization Active NPI

William S. Bennett MD Assoc

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1023195799
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C6861 Issued in TX
Legal business name
WILLIAM S. BENNETT MD ASSOC
Practice address
1330 N Beckley
Ste 102
Dallas, TX 75203
Phone
(214) 942-9333
Fax
(214) 942-7556
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William James Bennett, MD
Title
Owner
Phone
(214) 942-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X C6861 TX Primary

Addresses

Primary practice location

1330 N Beckley
Ste 102
Dallas, TX 75203

Mailing address

1330 N Beckley
Ste 102
Dallas, TX 75203
Phone (214) 942-9333

National Provider Directory

National Provider Directory

Locations

1330 N Beckley Ave
Ste 102
Dallas, TX 75203
Phone (214) 942-9333

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023195799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N BECKLEY",
            "address_2": "STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-942-9333",
            "fax_number": "214-942-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N BECKLEY",
            "address_2": "STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75203",
            "telephone_number": "214-942-9333",
            "fax_number": "214-942-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. BENNETT MD ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-942-9333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "C6861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

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.

Verify at the official NPI Registry.