Individual provider Active NPI

Benjamin Garver, DDS

  • General Practice Dentistry
  • San Bernardino, CA
National Provider Identifier
1205587623
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
106975 Issued in CA
Practice address
322 N H St
San Bernardino, CA 92410-3224
Phone
(909) 888-1301
NPI assigned
Jan 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 106975 CA Primary

Addresses

Primary practice location

322 N H St
San Bernardino, CA 92410-3224

Mailing address

11464 Loma Linda Dr
Loma Linda, CA 92354-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106975CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Myron L Massey DDS Inc CurrentSince Jul 24, 2022 Accepting new patients
Vijay B. Patel General Practice PastSince Jan 26, 2022 Accepting new patients

Locations

322 N H St
San Bernardino, CA 92410
Phone (909) 709-5657

Organizations & group practices 2

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1205587623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11464 LOMA LINDA DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N H ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103224",
            "telephone_number": "909-888-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.