Melvin Burnett Benson Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN26712 Issued in FL

Practice address

1435 S Tamiami TRL Ste B
Sarasota, FL 34239-2946

Phone

(941) 425-6367

Fax

(941) 363-6393

NPI assigned

Dec 20, 2006

Last updated

Aug 23, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

State licenses

Practice roles

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.

• P26 Non-SW FL PLLC

  • Dental Clinic/Center
  • Naples, FL
  • NPI 1609674209
  NPD (past)
• Schirmer Dentistry, PLLC

  • Dental Clinic/Center
  • Sarasota, FL
  • NPI 1477935534
  NPD (past)
• Obermann Dental

  • Dentist
  • Greeley, CO
  • NPI 1932216900
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1326102849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S TAMIAMI TRL STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392946",
            "telephone_number": "941-256-3675",
            "fax_number": "941-363-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S TAMIAMI TRL STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392946",
            "telephone_number": "941-425-6367",
            "fax_number": "941-363-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "MELVIN",
        "middle_name": "BURNETT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5858",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9315",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azlea Vanessa Bennington, RN-FNP
• Rica Benshushan
• Benson Ciotti West
• Jordan Benson
• Kimberly Smith Benson, LMHC
• Morgan Lynn Benson, APRN
• Peter Benson, M.D.
• Kara Benz
• Martha 'Mimi' Berber
• Beth Ann Berberich, LMT

• Dentist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.