Bennett Dental Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

61279 Issued in CA

Legal business name

BENNETT DENTAL CORPORATION

Doing business as

Apnea & Breathing Clinic Bennett Dental Group

Practice address

5230 Carroll Canyon Rd Ste 326
San Diego, CA 92121-1781

Phone

(619) 494-5091

Fax

(619) 881-0408

NPI assigned

Nov 15, 2016

Last updated

Nov 26, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

BENNETT DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Chase Alan BennettNPI 1043566706

Title

Ceo

Phone

(918) 638-3102

Specialties & licenses 1

Addresses

Other names 1

• Apnea & Breathing Clinic Bennett Dental Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Bennett Dental Corporation

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chase Alan Bennett, DDS

  • Specialist
  • San Diego, CA
  • NPI 1043566706

  Dentist

  NPD Authorized official

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1083156517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 326",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211781",
            "telephone_number": "619-494-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 326",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211781",
            "telephone_number": "619-494-5091",
            "fax_number": "619-881-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENNETT DENTAL CORPORATION",
        "enumeration_date": "2016-11-15",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-638-3102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "61279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apnea & Breathing Clinic Bennett Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keren Benmoshe
• Courtney Benn, LMFT
• Shelley Joyce Benn
• Dawn Benner
• Jon Michael Benner, PHARM.D
• Patti A Bennett-Deguzman, LCSW
• Shannon Bennett-Gunderson
• Alexandra Sloane Bennett, LCSW
• Amy Kristina Bennett, RN, NP
• Andrew Kenneth Bennett, RADT

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.