Benjamin Canida, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12010731 Issued in IN

Practice address

904 E 1St St
Madison, IN 47250-3623

Phone

(812) 265-2083

Fax

(812) 265-2177

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

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

Enrolled in IN

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

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1164675146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 E 1ST ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503623",
            "telephone_number": "812-265-2083",
            "fax_number": "812-265-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 E 1ST ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503623",
            "telephone_number": "812-265-2083",
            "fax_number": "812-265-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIDA",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy H Burkhardt, DDS
• Butler Dental PC (Butler Family Dentistry)
• Daniel Franklin Butler, D.M.D
• Leslie Cain, LCSW
• Caroline Suzanne Campbell, OTR/L
• Robert Reid Canida, DDS
• Hermetes Capulong, PT
• Aaron Luke Carlson, PA-C
• Alice L Carlson, C.N.P.
• Kimberly Ann Carlson, LCSW

• Dentist in Madison, IN
• Providers in Madison, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.