Active NPI
Jenna Benko, DMD
- Prosthodontics
- Los Angeles, CA
National Provider Identifier
1144749508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 63557
- Practice address
- 1849 Greenfield Ave Apt 201
Los Angeles, CA 90025 - Phone
- (702) 326-4493
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 63557 | CA | Primary |
Addresses
Primary practice location
1849 Greenfield Ave Apt 201
Los Angeles, CA 90025
Mailing address
1849 Greenfield Ave Apt 201
Los Angeles, CA 90025-4414
Phone (702) 326-4493
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1144749508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 GREENFIELD AVE APT 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254414",
"telephone_number": "702-326-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 GREENFIELD AVE APT 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90025",
"telephone_number": "702-326-4493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENKO",
"first_name": "JENNA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "63557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.