Adam M Beno, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18910 Issued in FL

Practice address

13691 Metro Pkwy
Ste 250
Fort Myers, FL 33912-4350

Phone

(239) 768-5900

Fax

(239) 768-5977

NPI assigned

Dec 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adam M Beno Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1261699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1265762199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "STE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124350",
            "telephone_number": "239-768-5900",
            "fax_number": "239-768-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY",
            "address_2": "STE 250",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124350",
            "telephone_number": "239-768-5900",
            "fax_number": "239-768-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENO",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "DMD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-25",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "BENO",
            "middle_name": "M",
            "credential": "DMD, PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Benn, HIS
• Cody Michael Bennett
• Donna Marie Bennett, PA-C, PHARMD
• Raphaella Nason Bennett
• Shannon L Bennett, DMD
• Yadile De la Caridad Benoit, DNP, APRN
• Devon Benson
• Jessica Dawn Benson, CRNA
• Kaleesha Bent, M.S.
• Flora Bentsi-Enchill, D.M.D

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.