Douglas Benting

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

D06755 Issued in AZ

Practice address

301 E Bethany Home Rd Ste C194
Phoenix, AZ 85012-1266

Phone

(602) 277-9088

Fax

(602) 277-8889

NPI assigned

Aug 27, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Renew Dental PLLC

  • Prosthodontics
  • Phoenix, AZ
  • NPI 1245252287
  NPD Authorized official

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1326448309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C194",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121266",
            "telephone_number": "602-277-9088",
            "fax_number": "602-277-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD STE C194",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121266",
            "telephone_number": "602-277-9088",
            "fax_number": "602-277-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTING",
        "first_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "D06755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Benson, PHARM D
• Jonathan Simon Bensoussan, DDS
• Ellie Bensted, DPT
• Elyssa D. Bent, M.D.
• Kelsey Bentien
• Arielle Bentley, LPC
• Lana L Bentley, MC, NCC, L.P.C.
• Lorri A Bentley, P.T.
• Sarah Caryn Bentley, PHARM.D.
• Bentley's Transition Living

• Prosthodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.