Kenneth J. Benson, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

6621 Issued in NC

Legal business name

KENNETH J. BENSON, DDS

Practice address

2081 Sheperds Vineyard Dr
Apex, NC 27502-6410

Phone

(919) 387-3388

Fax

(919) 387-0070

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J. Benson, DDSNPI 1326099458

Title

Owner

Phone

(919) 387-3388

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth J. Benson, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1326099458
  NPD (past) Authorized official
• Gabriel Fritz, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Apex, NC
  • NPI 1932317559
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205930765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 SHEPERDS VINEYARD DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026410",
            "telephone_number": "919-387-3388",
            "fax_number": "919-387-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 SHEPERDS VINEYARD DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026410",
            "telephone_number": "919-387-3388",
            "fax_number": "919-387-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. BENSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-387-3388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NC",
            "license": "6621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "902VT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89022VT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "6621",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Daniel Kelly, DPM
• Meredith Kelly, DPT, CERT. DN, BFR
• Tydarian Roshawn Kelly
• Shannon Grace Kenna, OTR/L
• Amanda Faye Kennedy
• Christina Key, PHARM.D.
• Parul Amul Kharod, MS, RD, LDN
• Kids in Motion
• Christine Somyeong Kim, DMD
• Jonathan Kimin Kim, PT

• Oral and Maxillofacial Pathology Dentistry in Apex, NC
• Providers in Apex, NC by specialty
• Oral and Maxillofacial Pathology Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.