Benjamin Martin Dickson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

52374 Issued in CA

Practice address

116 W Plaza Street
Suite C
Solana Beach, CA 92075-1124

Phone

(858) 755-1591

Fax

(858) 755-8396

NPI assigned

May 21, 2008

Last updated

May 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1275790859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W PLAZA STREET",
            "address_2": "SUITE C",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751124",
            "telephone_number": "858-755-1591",
            "fax_number": "858-755-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W PLAZA STREET",
            "address_2": "SUITE C",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751124",
            "telephone_number": "858-755-1591",
            "fax_number": "858-755-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "BENJAMIN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric D Deverill, D.D.S.
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• Janet Distefan, MFT
• Andrew Charles Doell, PT
• Geoffrey Dold, PT, DPT, CSCS
• Johnny Douglas

• Dentist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.