Organization Active NPI

Tyler Beninati, DMD, PC

  • Dental Clinic/Center
  • Antioch, CA
National Provider Identifier
1104616218
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TYLER BENINATI, DMD, PC
Practice address
3432 Hillcrest Ave Ste 150
Antioch, CA 94531-6310
Phone
(925) 503-1123
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Dr. Tyler Beninati, DMDNPI 1770040412
Title
Ceo
Phone
(603) 475-7986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3432 Hillcrest Ave Ste 150
Antioch, CA 94531-6310

Mailing address

3432 Hillcrest Ave Ste 150
Antioch, CA 94531-6310
Phone (925) 503-1123

Other names 1

  • Allstar Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3432 Hillcrest Ave
Ste 150
Antioch, CA 94531
Phone (925) 503-1123

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": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1104616218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 HILLCREST AVE STE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316310",
            "telephone_number": "925-503-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 HILLCREST AVE STE 150",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316310",
            "telephone_number": "925-503-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER BENINATI, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "BENINATI",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-475-7986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allstar Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.