Individual provider Active NPI

Benjamin J Kwok, DDS

  • Pediatric Dentistry
  • Delaware, OH
National Provider Identifier
1114386505
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30.024724 Issued in OH
Practice address
1949A State Route 37 W
Delaware, OH 43015-1052
Phone
(740) 209-2400
NPI assigned
Feb 15, 2016
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024724 OH
Pediatric Dentistry 1223P0221X 30.024724 OH Primary

Addresses

Primary practice location

1949A State Route 37 W
Delaware, OH 43015-1052

Mailing address

1949A State Route 37 W
Delaware, OH 43015-1052
Phone (740) 209-2400

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-5650

Other practice location 2

700 Ackerman Rd Ste 570
Columbus, OH 43202-1579
Phone (614) 293-4637

Other practice location 3

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-5650

Other identifiers 1

IdentifierTypeStateIssuer
0228805MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.024724OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin J. Kwok, DDS, Ms, LLC Pediatric Dentistry Current Accepting new patients

Locations

1949 State Route 37 W
Ste A
Delaware, OH 43015
Phone (740) 209-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1114386505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949A STATE ROUTE 37 W",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151052",
            "telephone_number": "740-209-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949A STATE ROUTE 37 W",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151052",
            "telephone_number": "740-209-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Ackerman Rd Ste 570",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021579",
            "country_code": "US",
            "telephone_number": "614-293-4637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWOK",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024724",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.024724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0228805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.