Individual provider Active NPI

Sompop Bencharit, D.D.S.

  • Prosthodontics
  • Richmond, VA
National Provider Identifier
1093873762
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
0401415353 Issued in VA
Practice address
520 N 12TH St Dept General
Richmond, VA 23298-5064
Phone
(804) 828-2977
NPI assigned
Dec 5, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 0401415353 VA Primary

Addresses

Primary practice location

520 N 12TH St Dept General
Richmond, VA 23298-5064

Mailing address

520 N 12TH St Dept General
Richmond, VA 23298-5064
Phone (804) 828-2977

Other practice location 1

112 Westgreen Dr
Chapel Hill, NC 27516-9180
Phone (919) 623-4560

Other practice location 2

7450 Campus Box
UNC-School of Dentistry
Chapel Hill, NC 27599-7450
Phone (919) 843-8734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160126001578 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7315240330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401415353VAMDProsthodontist
12575NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1093873762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST DEPT GENERAL",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH ST DEPT GENERAL",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985064",
            "telephone_number": "804-828-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Westgreen Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275169180",
            "country_code": "US",
            "telephone_number": "919-623-4560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Campus Box",
            "address_2": "UNC-School of Dentistry",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275997450",
            "country_code": "US",
            "telephone_number": "919-843-8734",
            "fax_number": "919-966-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENCHARIT",
        "first_name": "SOMPOP",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401415353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.