Carmen Maria Benitez, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044049 Issued in NY

Practice address

2164 Hudson Avenue
Rochester, NY 14617-1163

Phone

(585) 342-7330

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 NY

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

State licenses

Interoperability endpoints

• Direct secure messaging: cbenitez10465@direct.rochesterregional.org

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063569283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIELD OAK LN",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261163",
            "telephone_number": "585-388-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HUDSON AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146171163",
            "telephone_number": "585-342-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "CARMEN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lamonte Benesh, DMD MBA
• Stephanie Ann Beneski-Barlow, D.O.
• Rachel Bengart, DO
• Soufiane Bengelloun Zahr, MD
• Gage Stephen Benham I, BA
• Lavette Benitez, LPN
• Amy Rebecca Benjamin, MD
• Melissa Shlon Benjamin, LPN
• Fonda Eve Benne, REGISTERED NURSE
• Katherine M Bennett Roll, CRNA

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.