NPIMap

Organization Active NPI

Benjamin Glick DMD PC

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1205081585
Registry record updated Nov 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4281 Issued in NV
Legal business name
BENJAMIN GLICK DMD PC
Practice address
1070 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89012-6016
Phone
(702) 432-9100
Fax
(702) 558-9159
NPI assigned
Nov 30, 2008
Last updated
Nov 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2008

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

Authorized official

Name
Dr. Benjamin Glick, DMD
Title
President
Phone
(702) 432-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4281 NV Primary

Addresses

Primary practice location

1070 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89012-6016

Mailing address

1070 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89012-6016
Phone (702) 432-9100

National Provider Directory

National Provider Directory

Locations

1070 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89012
Phone (702) 432-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228003200000",
    "number": "1205081585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126016",
            "telephone_number": "702-432-9100",
            "fax_number": "702-558-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126016",
            "telephone_number": "702-432-9100",
            "fax_number": "702-558-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN GLICK DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-30",
        "last_updated": "2008-11-30",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-432-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2008; 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.