Individual provider Active NPI

Benjamin Wofford Dawsey Jr., AUD

  • Audiologist
  • Spartanburg, SC
National Provider Identifier
1053364182
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
164 Issued in SC
Practice address
410 E Henry St
Spartanburg, SC 29302
Phone
(864) 583-7644
Fax
(864) 582-0034
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 164 SC Primary

Addresses

Primary practice location

410 E Henry St
Spartanburg, SC 29302

Mailing address

410 E Henry St
Spartanburg, SC 29302
Phone (864) 583-7644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000496 SC Practitioner - Qualified Audiologist 9638365448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Associates of Spartanburg PAGroup PAC ID 3577759372, 2 clinicians

Practice addresses (Care Compare)

410 E Henry St
Spartanburg, SC 29302-2610
Phone (864) 583-7644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
164SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of Spartanburg PA Audiologist CurrentSince Dec 21, 1996 Accepting new patients

Locations

410 E Henry St
Spartanburg, SC 29302
Phone (864) 583-7644

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1053364182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E HENRY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29302",
            "telephone_number": "864-583-7644",
            "fax_number": "864-582-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E HENRY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29302",
            "telephone_number": "864-583-7644",
            "fax_number": "864-582-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSEY",
        "first_name": "BENJAMIN",
        "middle_name": "WOFFORD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.