Active NPI
Sompop Bencharit, D.D.S.
- Prosthodontics
- Richmond, VA
National Provider Identifier
1093873762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 0401415353
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160126001578 | NC | Order and Referring Only - Oral Surgery | 7315240330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415353 | VA | MD | Prosthodontist |
| 12575 | NC | MD | Occupational 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
- Marjo Beltoja
- Heiomy Beltran-Brooks, LCSW
- Gabriel K Beluchukwu, MD
- Jonathan M Ben-Ezra, M.D.
- Benay's Creative Counseling, LLC
- Adam Bender, LCSW
- William H. Bene, RPH
- Beneath the Scars Wellness & Counseling Services, LLC (Beneath The Scars Counseling)
- Sydney Marie Benedick, LPC
- Sharon M Benedict, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.