Dylan Joseph Thomas Benke, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

106836 Issued in CA

Practice address

9850 Genesee Ave Ste 620
La Jolla, CA 92037-1217

Phone

(858) 535-8300

NPI assigned

Aug 13, 2021

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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.

• Scripps Center for Dental Care

  • General Practice Dentistry
  • La Jolla, CA
  • NPI 1598095051
  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1154096881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 620",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371217",
            "telephone_number": "858-535-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 620",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371217",
            "telephone_number": "858-535-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKE",
        "first_name": "DYLAN",
        "middle_name": "JOSEPH THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher H Benbow, MD
• Benchmark Advisory Partners
• Caroline Helen Bender, LMFT
• Victoria Anne Bendersky
• Alan Neil Beneze, MD
• Debra Eileen Bennett, NP
• Jason H Bennett, M.D.
• Emily Bennewitz, M.S.
• Claire Bensard, MD, PHD
• Amy Leah Benton, COTA

• Dentist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.