NPIMap

Organization Active NPI

Benjamin Koren, DDS VI PA

Doing business as Leland Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Leland, NC
National Provider Identifier
1063284123
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BENJAMIN KOREN, DDS VI PA
Doing business as
Leland Orthodontics
Practice address
117 Village Rd NE Ste H
Leland, NC 28451-3900
Phone
(910) 371-5664
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Amanda Groeschel
Title
Director
Phone
(704) 978-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

117 Village Rd NE Ste H
Leland, NC 28451-3900

Mailing address

117 Village Rd NE Ste H
Leland, NC 28451-3900
Phone (910) 371-5664

Other names 1

  • Leland Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benjamin Koren DDS VI PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1063284123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 VILLAGE RD NE STE H",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284513900",
            "telephone_number": "910-371-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VILLAGE RD NE STE H",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284513900",
            "telephone_number": "910-371-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN KOREN, DDS VI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "GROESCHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-978-9800"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leland Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.