Active NPI
Benevis, LLC
- Dentist
- Marietta, GA
National Provider Identifier
1255501466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BENEVIS, LLC
- Practice address
- 1090 Northchase Pkwy SE
Suite 150
Marietta, GA 30067-6405 - Phone
- (770) 916-5028
- NPI assigned
- Mar 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Oreffice
- Title
- Vice President
- Phone
- (770) 916-5021
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1090 Northchase Pkwy SE
Suite 150
Marietta, GA 30067-6405
Mailing address
1090 Northchase Pkwy SE
Suite 150
Marietta, GA 30067-6405
Phone (770) 916-5028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405382400000",
"number": "1255501466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PKWY SE",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676405",
"telephone_number": "770-916-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 NORTHCHASE PKWY SE",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300676405",
"telephone_number": "770-916-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENEVIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-04",
"last_updated": "2014-07-15",
"status": "A",
"authorized_official_last_name": "OREFFICE",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "770-916-5021"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.