Kimberly C Bentjen, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

S2-164C Issued in NV

Practice address

10455 Double R Blvd Ste 101
Reno, NV 89521-9038

Phone

(775) 284-2500

NPI assigned

Jul 7, 2009

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 12, 2020 through Jun 12, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Daniel F. Muff, DDS, MD, LTD

  • Oral and Maxillofacial Surgery Clinic/Center
  • Reno, NV
  • NPI 1396388955
  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1144459587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 DOUBLE R BLVD STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895219038",
            "telephone_number": "775-284-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 DOUBLE R BLVD STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895219038",
            "telephone_number": "775-284-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTJEN",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-164C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bennett
• Renee Walker Bennett, MFT
• Alyssa Viola Benson
• John-Michael Benson, MD
• Julie Benson
• Karen Benton
• Lorraine Benuto, PH.D.
• Edith Berejnaya, FNP-BC
• Pamela Berek
• Bear Berenback

• Oral and Maxillofacial Surgery (Dentist) in Reno, NV
• Providers in Reno, NV by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.