Benjamin Koren, D.D.S. II. P.a,

Primary specialty

DentistTaxonomy code 122300000X

License

6997 Issued in NC

Legal business name

BENJAMIN KOREN, D.D.S. II. P.A,

Doing business as

Henderson Family Dentistry

Practice address

560 Dabney Dr
Henderson, NC 27536-3946

Phone

(252) 438-7384

Fax

(252) 492-0994

NPI assigned

Jun 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Victor Koren, DDS

Title

Owner

Phone

(252) 438-7384

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Henderson Family Dentistry Doing business as

Locations

Practitioners 2

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.

• David Edward Galatas, DDS

  • Dentist
  • Henderson, NC
  • NPI 1255350617
  NPD (past)
• Mark Vedder Wainright, D.D.S., M.S.

  • Dentist
  • Henderson, NC
  • NPI 1245261080
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235167073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 DABNEY DRIVE, SUITE C",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "919-528-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 DABNEY DR",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275363946",
            "telephone_number": "252-438-7384",
            "fax_number": "252-492-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN KOREN, D.D.S. II. P.A,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-438-7384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901684",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "017JX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beckford Avenue Medical Center PA
• Beckford Avenue Medical Center PA (Beckford Avenue Medical Center)
• Beckford Drive Operating Company LLC (Camellia Gardens Center for Nursing and Rehabilitation)
• Behavioral Health Diagnostics, PLLC
• Believer in You, LLC
• Mazda Berenjian, D.D.S.
• Best Care IV Services (Optioncare)
• Best Care of Henderson LLC (Best Care Pharmacy)
• Danelle H Betancourt, MS. CCC-SLP
• Brianna Jayne Betker, M.S. ED.,BCBA

• Dentist in Henderson, NC
• Providers in Henderson, NC by specialty
• Dentist 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.