Eva Renee Bender, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54453 Issued in CA

Practice address

1624 Franklin St
Suite 300
Oakland, CA 94612-2897

Phone

(510) 332-8968

Fax

(510) 332-8968

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Interoperability endpoints

• Direct secure messaging: ebender249620@direct-ucsfmedicalcenter.org

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1043367212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 ETTIE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084016",
            "telephone_number": "510-332-8968",
            "fax_number": "510-332-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "SUITE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122897",
            "telephone_number": "510-332-8968",
            "fax_number": "510-332-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "EVA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Ben
• Sabrina Nicole Benali, MT,HHE,LC,
• Mahdi N Benalshaikh
• Dan Benbow
• Giovanna Bencomo
• Jamie Bender, LAC, CMT
• Kathryn Bender, BCIAC, SENIOR FELLOW
• Paula Ilene Bender, L.C.S.W.
• Margaret Mary Benedict-Montgomery
• Hugh M. Benedict, MD

• General Practice Dentistry in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2011; 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.