Individual provider Active NPI

Benjanin M Frank, D.D.S.

  • Prosthodontics
  • Danbury, CT
National Provider Identifier
1063802221
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
CT5238 Issued in CT
Practice address
105 A Newton Road
Suite 4
Danbury, CT 06810-1603
Phone
(203) 744-7377
Fax
(203) 744-7403
NPI assigned
Jan 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X CT5238 CT Primary

Addresses

Primary practice location

105 A Newton Road
Suite 4
Danbury, CT 06810-1603

Mailing address

105 A Newton Road
Suite 4
Danbury, CT 06810-1603
Phone (203) 744-7377

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20150115000061 CT Order and Referring Only - DentistPractitioner - Dentist 5991029209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT5238CTMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1063802221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 A NEWTON ROAD",
            "address_2": "SUITE 4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068101603",
            "telephone_number": "203-744-7377",
            "fax_number": "203-744-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 A NEWTON ROAD",
            "address_2": "SUITE 4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068101603",
            "telephone_number": "203-744-7377",
            "fax_number": "203-744-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "BENJANIN",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "CT5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.