Individual provider Active NPI

Ryan Benson, D.D.S.

  • Dentist
  • Sharonville, OH
National Provider Identifier
1174925507
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-024217 Issued in OH
Practice address
3801 Sharon Park LN Ste 100
Sharonville, OH 45241-4169
Phone
(513) 563-6262
Fax
(513) 563-5028
NPI assigned
Sep 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-024217 OH Primary

Addresses

Primary practice location

3801 Sharon Park LN Ste 100
Sharonville, OH 45241-4169

Mailing address

3801 Sharon Park LN Ste 100
Sharonville, OH 45241-4169
Phone (513) 563-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20161028001968 OH Order and Referring Only - DentistPractitioner - Dentist 8628356409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-024217OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
French Family Dentistry Dentist PastSince Dec 3, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1174925507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SHARON PARK LN STE 100",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452414169",
            "telephone_number": "513-563-6262",
            "fax_number": "513-563-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SHARON PARK LN STE 100",
            "city": "SHARONVILLE",
            "state": "OH",
            "postal_code": "452414169",
            "telephone_number": "513-563-6262",
            "fax_number": "513-563-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-024217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharonville, OH

Sources for this page

Verify at the official NPI Registry.