Active NPI
Ben Estorge, MS, RDN, LDN
- Registered Dietitian
- Greenville, NC
National Provider Identifier
1215756473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007489
- Practice address
- 3609 Willow Run Dr
Greenville, NC 27858-1001 - Phone
- (252) 481-8593
- NPI assigned
- Oct 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L007489 | NC | Primary |
Addresses
Primary practice location
3609 Willow Run Dr
Greenville, NC 27858-1001
Mailing address
3609 Willow Run Dr
Greenville, NC 27858-1001
Phone (252) 481-8593
Other practice location 1
2400 Meadowbrook Ave Apt D
New Bern, NC 28562-5365
Phone (252) 481-8593
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L007489 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728086400000",
"number": "1215756473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 WILLOW RUN DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278581001",
"telephone_number": "252-481-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 WILLOW RUN DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278581001",
"telephone_number": "252-481-8593"
}
],
"practiceLocations": [
{
"address_1": "2400 Meadowbrook Ave Apt D",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285625365",
"country_code": "US",
"telephone_number": "252-481-8593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTORGE",
"first_name": "BEN",
"name_prefix": "Mr.",
"credential": "MS, RDN, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-05",
"last_updated": "2024-10-05",
"certification_date": "2024-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.