Benjamin Rodney Hulse, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

08430 Issued in IA

Practice address

CMR 402
Landstuhl Dental Activity Crdentials Office
Apo Ae, NY 09180

Phone

(637) 192-9130

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• UT PPO D-SNP

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144387622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CMR 402",
            "address_2": "LANDSTUHL DENTAL ACTIVITY CRDENTIALS OFFICE",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09180",
            "telephone_number": "637-192-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CMR 402",
            "address_2": "LANDSTUHL DENTAL ACTIVITY CRDENTIALS OFFICE",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09180",
            "telephone_number": "637-192-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "BENJAMIN",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie J Hendrix, RDH
• Jerry Hersh, MD
• Donna Renee Hetherington, R.D.H
• Lucas Charles Homicz, DDS
• James P Houston, DMD
• Charles Michael Jenness, DDS
• Rob Keeler, DMD
• Stephen Michael Keesee, D.D.S.
• Lauri Kizler, OTR
• Cynthia Midgette Knigge, R.D.H.

• Dentist in Apo Ae, NY
• Providers in Apo Ae, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.