Individual provider Active NPI

Guy Mitchell Bennett, D.M.D.

  • General Practice Dentistry
  • Flemington, NJ
National Provider Identifier
1316096290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1012160 Issued in NJ
Practice address
4 Walter E Foran Blvd
Suite 204
Flemington, NJ 08822-4664
Phone
(908) 788-1661
Fax
(908) 284-0797
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D1012160 NJ Primary

Addresses

Primary practice location

4 Walter E Foran Blvd
Suite 204
Flemington, NJ 08822-4664

Mailing address

4 Walter E Foran Blvd
Suite 204
Flemington, NJ 08822-4664
Phone (908) 788-1661

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160917000016 NJ Order and Referring Only - DentistPractitioner - Dentist 8022305168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1012160NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Flemington Dental Arts PA General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316096290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD",
            "address_2": "SUITE 204",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224664",
            "telephone_number": "908-788-1661",
            "fax_number": "908-284-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD",
            "address_2": "SUITE 204",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224664",
            "telephone_number": "908-788-1661",
            "fax_number": "908-284-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GUY",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "D1012160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.