Organization Active NPI

Redlands Mesa Family Dentistry

  • Dentist
  • Grand Junction, CO
National Provider Identifier
1104462878
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
REDLANDS MESA FAMILY DENTISTRY
Practice address
2412 Patterson Rd Ste 1
Grand Junction, CO 81505-1259
Phone
(970) 543-1393
Fax
(970) 549-0262
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Dr. Julie Benjamin, DDS
Title
Owner
Phone
(970) 549-1393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2412 Patterson Rd Ste 1
Grand Junction, CO 81505-1259

Mailing address

2412 Patterson Rd Ste 1
Grand Junction, CO 81505-1259
Phone (970) 543-1393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1104462878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 PATTERSON RD STE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051259",
            "telephone_number": "970-543-1393",
            "fax_number": "970-549-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 PATTERSON RD STE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051259",
            "telephone_number": "970-543-1393",
            "fax_number": "970-549-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS MESA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-549-1393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.