Organization Active NPI

Priti Beniwal D.M.D, LLC

  • Endodontics
  • Duxbury, MA
National Provider Identifier
1316291834
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN21656 Issued in MA
Legal business name
PRITI BENIWAL D.M.D, LLC
Doing business as
South Shore Endodontics, Duxbury
Practice address
20 Tremont Street
BLDG 4, Suite 10a
Duxbury, MA 02332
Phone
(781) 934-0956
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Priti Beniwal, D.M.D.
Title
Owner
Phone
(781) 934-0956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN21656 MA Primary

Addresses

Primary practice location

20 Tremont Street
BLDG 4, Suite 10a
Duxbury, MA 02332

Mailing address

20 Tremont Street
BLDG 4, Suite 10a
Duxbury, MA 02332
Phone (781) 934-0956

Other names 1

  • South Shore Endodontics, Duxbury Doing business as

National Provider Directory

National Provider Directory

Locations

20 Tremont St
Ste 10A
Duxbury, MA 02332
Phone (781) 934-0956

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1316291834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TREMONT STREET",
            "address_2": "BLDG 4, SUITE 10A",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-934-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TREMONT STREET",
            "address_2": "BLDG 4, SUITE 10A",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "02332",
            "telephone_number": "781-934-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRITI BENIWAL D.M.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "BENIWAL",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-934-0956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "DN21656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Endodontics, Duxbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.