Active NPI
Kerri S Benjamin-Brandt, DDS
- General Practice Dentistry
- Lancaster, OH
National Provider Identifier
1255599684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20973
- Practice address
- 1506 Amherst PL SW
Lancaster, OH 43130-8634 - Phone
- (740) 654-2010
- Fax
- (740) 654-2915
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20973 | OH | Primary |
Addresses
Primary practice location
1506 Amherst PL SW
Lancaster, OH 43130-8634
Mailing address
1506 Amherst PL SW
Lancaster, OH 43130-8634
Phone (740) 654-2010
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20973 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1255599684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 AMHERST PL SW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308634",
"telephone_number": "740-654-2010",
"fax_number": "740-654-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 AMHERST PL SW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308634",
"telephone_number": "740-654-2010",
"fax_number": "740-654-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN-BRANDT",
"first_name": "KERRI",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "20973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.