Benjamin Halpern, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DDS100666 Issued in CA

Practice address

299 Juana Ave Ste C
San Leandro, CA 94577-4838

Phone

(510) 352-6266

NPI assigned

Aug 26, 2016

Reactivated

Sep 25, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Benjamin Halpern Dental Corp.

  • Periodontics
  • San Leandro, CA
  • NPI 1184566994
  NPD Authorized official
• Ballan D Tuck DDS Inc

  • General Practice Dentistry
  • Piedmont, CA
  • NPI 1962177733
  NPD (past)
• Yen-Tseng Lai DMD Ms, PC

  • Periodontics
  • San Leandro, CA
  • NPI 1396243259
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1164978672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 JUANA AVE STE C",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774838",
            "telephone_number": "510-352-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 JUANA AVE STE C",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774838",
            "telephone_number": "510-352-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1375 Grand Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "CA",
            "postal_code": "946101076",
            "country_code": "US",
            "telephone_number": "510-251-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-09",
        "deactivation_date": "2019-09-16",
        "reactivation_date": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "DDS100666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Haley, B.A.
• Arthur Lee Hall, PSYCHOLOGIST
• Josilyn Hall
• Marisa A Halperin
• Michael D Halperin, MD
• Juliann Halvorsen
• Bill Ham, RPH
• Joseph Ham
• Karen Hamadanyan, LCSW
• Qiyamah F Hameed

• Periodontics in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.