NPIMap

Organization Active NPI

Benson & Benson Family Dentistry

  • General Practice Dentistry
  • Smiths Grove, KY
National Provider Identifier
1235403791
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4850 Issued in KY
Legal business name
BENSON & BENSON FAMILY DENTISTRY
Practice address
148 Vincent St
Smiths Grove, KY 42171
Phone
(270) 563-4706
Fax
(270) 563-4819
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Mary H Benson, DMDNPI 1518039379
Title
Partner
Phone
(270) 563-4819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4850 KY Primary

Addresses

Primary practice location

148 Vincent St
Smiths Grove, KY 42171

Mailing address

PO Box 370
Smiths Grove, KY 42171-0370
Phone (270) 563-4706

Other identifiers 2

IdentifierTypeStateIssuer
60048501MedicaidKY
60048493MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1235403791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421710370",
            "telephone_number": "270-563-4706",
            "fax_number": "270-563-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 VINCENT ST",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "42171",
            "telephone_number": "270-563-4706",
            "fax_number": "270-563-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON & BENSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "270-563-4819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60048501",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60048493",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smiths Grove, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.