Individual provider Active NPI

William Alexander Benson IV, DDS

  • Dentist
  • Raleigh, NC
National Provider Identifier
1205813425
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7954 Issued in NC
Practice address
309 W Millbrook Rd
Suite 181
Raleigh, NC 27609-4385
Phone
(919) 789-0400
NPI assigned
Dec 29, 2005
Last updated
Dec 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7954 NC Primary

Addresses

Primary practice location

309 W Millbrook Rd
Suite 181
Raleigh, NC 27609-4385

Mailing address

5221 Quail Meadow Dr
Raleigh, NC 27609-4749
Phone (919) 876-4865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160203000847 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355645839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7954NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James a Whitley, DDS PA Past 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, 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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1205813425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 QUAIL MEADOW DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094749",
            "telephone_number": "919-876-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W MILLBROOK RD",
            "address_2": "SUITE 181",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094385",
            "telephone_number": "919-789-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.