Chase Alan Bennett, DDS

Primary specialty

SpecialistTaxonomy code 174400000X

License

61279 Issued in CA

Practice address

5230 Carroll Canyon Rd Ste 326
San Diego, CA 92121-1781

Phone

(619) 494-5091

Fax

(619) 881-0408

NPI assigned

Jul 31, 2012

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bennett Dental Corporation

  dba Apnea & Breathing Clinic Bennett Dental Group

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
  • NPI 1083156517

  Dentist

  NPD Authorized official
• Bennett Dental Corporation

  dba Apnea & Breathing Clinic Bennett Dental Corporation

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
  • NPI 1912516998

  Dentist

  NPD Authorized official
• Chase Bennett Professional Dental Corporation

  dba CranioSpa Bennett Dental Group

  • Dentist
  • San Diego, CA
  • NPI 1972369288
  NPD Authorized official

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1043566706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 326",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211781",
            "telephone_number": "619-494-5091",
            "fax_number": "619-881-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 326",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211781",
            "telephone_number": "619-494-5091",
            "fax_number": "619-881-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5876 Owens Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920085530",
            "country_code": "US",
            "telephone_number": "619-494-5091",
            "fax_number": "619-810-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHASE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61279",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "202272",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DD261279",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "202272",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "61279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kristina Bennett, RN, NP
• Andrew Kenneth Bennett, RADT
• Bessie Bennett
• Brenda E Bennett, LMFT
• Catherine V. Bennett, MFT
• Crystal Bennett
• Gabrielle Bennett
• Grace Ann Bennett
• Jessica Lynn Bennett, NNP-BC
• Joshua Bennett, PA-C

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.