Active NPI
Elaine Patrice Benke, DDS
- Dentist
- Minneapolis, MN
National Provider Identifier
1134867492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14724
- Practice address
- 411 1St Ave NE
Minneapolis, MN 55413 - Phone
- (651) 246-1403
- NPI assigned
- May 25, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14724 | MN | Primary |
Addresses
Primary practice location
411 1St Ave NE
Minneapolis, MN 55413
Mailing address
411 1St Ave NE
Minneapolis, MN 55413-1521
Phone (612) 255-5569
Other practice location 1
5972 Cahill Ave Ste 109
Inver Grove Heights, MN 55076-1521
Phone (651) 246-1403
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
| License | State | Type | Specialty |
|---|---|---|---|
| D14724 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Horst, DDS, PLLC | Current | Accepting new patients | |
| Benke and Heins, P.L.L.C. | Current | Accepting new patients | |
| Steven J Benke DDS | Past | Accepting new patients |
Locations
5972 Cahill Ave
Ste 109
Inver Grove Heights, MN 55076
Phone (651) 246-1403
411 1st Ave NE
Minneapolis, MN 55413
Phone (612) 255-5569
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1316703044
-
- General Practice Dentistry
- Inver Grove Heights, MN
- NPI 1255136560
-
- General Practice Dentistry
- Inver Grove Heights, MN
- NPI 1346353968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1134867492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 1ST AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131521",
"telephone_number": "612-255-5569",
"fax_number": "612-255-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 1ST AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55413",
"telephone_number": "651-246-1403"
}
],
"practiceLocations": [
{
"address_1": "5972 Cahill Ave Ste 109",
"address_purpose": "LOCATION",
"city": "Inver Grove Heights",
"state": "MN",
"postal_code": "550761521",
"country_code": "US",
"telephone_number": "651-246-1403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENKE",
"first_name": "ELAINE",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2024-09-18",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.