Organization Active NPI

David R. Benavides M.D., P.a.

  • Obstetrics & Gynecology Physician
  • Laredo, TX
National Provider Identifier
1255648978
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N2941 Issued in TX
Legal business name
DAVID R. BENAVIDES M.D., P.A.
Practice address
6930 Springfield Ave
Laredo, TX 78041-2312
Phone
(956) 728-8999
NPI assigned
Sep 1, 2010
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
David R. Benavides, MDNPI 1285833434
Title
C.E.O
Phone
(956) 728-8999

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
Obstetrics & Gynecology Physician 207V00000X N2941 TX Primary

Addresses

Primary practice location

6930 Springfield Ave
Laredo, TX 78041-2312

Mailing address

6930 Springfield Ave
Laredo, TX 78041-2312
Phone (956) 728-8999

Other identifiers 1

IdentifierTypeStateIssuer
2204265-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000147 TX Part B Supplier - Clinic/Group Practice 7012186471 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

6930 Springfield Ave
Laredo, TX 78041
Phone (956) 725-8484

6930 Springfield Ave
#1
Laredo, TX 78041
Phone (956) 728-8999

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": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1255648978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412312",
            "telephone_number": "956-728-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412312",
            "telephone_number": "956-728-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. BENAVIDES M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "BENAVIDES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "956-728-8999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N2941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2204265-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.