Active NPI
Benjamin Wade Alverson, DMD
- Dentist
- Cedartown, GA
National Provider Identifier
1053935841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN016034
- Practice address
- 113 Plantation Ave
Cedartown, GA 30125-2371 - Phone
- (770) 748-7736
- NPI assigned
- Jun 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN016034 | GA | Primary |
Addresses
Primary practice location
113 Plantation Ave
Cedartown, GA 30125-2371
Mailing address
4130 Melrose Dr
Martinez, GA 30907-1558
Phone (706) 844-4957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN016034 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1053935841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 MELROSE DR",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309071558",
"telephone_number": "706-844-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 PLANTATION AVE",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301252371",
"telephone_number": "770-748-7736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVERSON",
"first_name": "BENJAMIN",
"middle_name": "WADE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-08",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN016034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.