Individual provider Active NPI

Benjamin Pritts, DMD

  • Dental Anesthesiology
  • Greensboro, NC
National Provider Identifier
1184154387
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
12165 Issued in NC
Practice address
2643 Randleman Rd
Greensboro, NC 27406-5153
Phone
(724) 953-5511
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X DEN.00204323 CO
Dental Anesthesiology 1223D0004X 12165 NC Primary

Addresses

Primary practice location

2643 Randleman Rd
Greensboro, NC 27406-5153

Mailing address

PO Box 1363
Chapel Hill, NC 27514-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170628002833 PA Order and Referring Only - DentistPractitioner - Dentist 5799054136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00204323COMDDentist Anesthesiologist
12165NCMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Pritts DMD PLLC Dental Anesthesiology Current 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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1184154387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1363",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 RANDLEMAN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065153",
            "telephone_number": "724-953-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITTS",
        "first_name": "BENJAMIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "DEN.00204323",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NC",
            "license": "12165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.