Individual provider Active NPI

Benjamin Michael Pentz VII, M.D.

  • Pediatrics Physician
  • Niles, OH
National Provider Identifier
1134180540
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35052833 Issued in OH
Practice address
150 N Crandon Ave
Niles, OH 44446-3417
Phone
(330) 652-1990
Fax
(330) 652-1914
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35052833 OH Primary

Addresses

Primary practice location

150 N Crandon Ave
Niles, OH 44446-3417

Mailing address

150 N Crandon Ave
Niles, OH 44446-3417
Phone (330) 652-1990

Other identifiers 1

IdentifierTypeStateIssuer
0634139MedicaidOH

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35052833OHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1134180540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N CRANDON AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463417",
            "telephone_number": "330-652-1990",
            "fax_number": "330-652-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N CRANDON AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444463417",
            "telephone_number": "330-652-1990",
            "fax_number": "330-652-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTZ",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_suffix": "VII",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35052833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.