Individual provider Active NPI

Dan P Benyamini, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1073715785
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46168 Issued in CA
Practice address
1826 W 7TH St
Los Angeles, CA 90057-4102
Phone
(213) 484-6660
Fax
(213) 484-8001
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46168 CA Primary

Addresses

Primary practice location

1826 W 7TH St
Los Angeles, CA 90057-4102

Mailing address

1825 San Ysidro Dr
Beverly Hills, CA 90210-1518
Phone (310) 285-9901

Other identifiers 1

IdentifierTypeStateIssuer
G92125-01OtherCADENTICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110425000809 CA Practitioner - DentistPractitioner - Oral Surgery 1658556246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46168CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dan P Benyamini DDS Advanced Dental Orofacial Consulting Theraputics Inc Dentist Current Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1073715785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SAN YSIDRO DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101518",
            "telephone_number": "310-285-9901",
            "fax_number": "213-484-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574102",
            "telephone_number": "213-484-6660",
            "fax_number": "213-484-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYAMINI",
        "first_name": "DAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G92125-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.