Active NPI
Benjamin M Benzio, DMD
- Dentist
- Cheraw, SC
National Provider Identifier
1174756399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6985
- Practice address
- 3137 Highway 9
Cheraw, SC 29520-6633 - Phone
- (843) 537-9044
- NPI assigned
- Sep 3, 2009
- Last updated
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6985 | SC | Primary |
| Dentist | 122300000X | DS038006 | PA |
Addresses
Primary practice location
3137 Highway 9
Cheraw, SC 29520-6633
Mailing address
3137 Highway 9
Cheraw, SC 29520-6633
Phone (843) 537-9044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160802002799 | SC | Order and Referring Only - Dentist | 5496049256 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038006 | PA | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1174756399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3137 HIGHWAY 9",
"city": "CHERAW",
"state": "SC",
"postal_code": "295206633",
"telephone_number": "843-537-9044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3137 HIGHWAY 9",
"city": "CHERAW",
"state": "SC",
"postal_code": "295206633",
"telephone_number": "843-537-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENZIO",
"first_name": "BENJAMIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-03",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "6985",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheraw, SC
- Meredith O'Neal Atkinson, CPNP-PC
- Beaver Chiropractic Center
- Narry H. Beaver, DC
- Benjamin M. Benzio, D.M.D. P.C. (Cheraw Family Dentistry)
- Jimmy S. Bennett Jr., LPC
- David Emil Bersinger, MD
- Bio-Medical Applications of South Carolina, Inc. (Fresenius Medical Care Cheraw)
- Blackman Family Dentistry
- Anthony Paul Blackman, D.M.D
- William Michael Blackman, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.