NPIMap

Organization Active NPI

Benjamin S Johnson DDS SC

Doing business as The Dentist

  • Dentist
  • Delavan, WI
National Provider Identifier
1285067272
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6240-15 Issued in WI
Legal business name
BENJAMIN S JOHNSON DDS SC
Doing business as
The Dentist
Practice address
134 S 4TH St
Delavan, WI 53115-1802
Phone
(262) 728-9330
NPI assigned
Aug 14, 2013
Last updated
Aug 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Benjamin S Johnson, D.D.S.NPI 1306007737
Title
President/Dentist
Phone
(262) 728-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6240-15 WI Primary

Addresses

Primary practice location

134 S 4TH St
Delavan, WI 53115-1802

Mailing address

134 S 4TH St
Delavan, WI 53115-1802
Phone (262) 728-9330

Other names 1

  • The Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

134 S 4th St
Delavan, WI 53115
Phone (262) 728-9330

Practitioners & affiliated clinicians

Practitioners 1

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": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1285067272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S 4TH ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151802",
            "telephone_number": "262-728-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S 4TH ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151802",
            "telephone_number": "262-728-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN S JOHNSON DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "262-728-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6240-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delavan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.