Individual provider Active NPI

Bruce Allen Benson, DMD

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1336364744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M740 Issued in SD
Practice address
101 W 37TH Street
Suite 110
Sioux Falls, SD 57105-5733
Phone
(605) 339-3222
Fax
(605) 339-7031
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

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 M740 SD Primary

Addresses

Primary practice location

101 W 37TH Street
Suite 110
Sioux Falls, SD 57105-5733

Mailing address

101 W 37TH Street
Suite 110
Sioux Falls, SD 57105-5733
Phone (605) 339-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M740SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Smiles Dentistry Subsidiary PastSince Sep 12, 2021 Accepting new patients
Bruce a Benson DMD PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336364744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 37TH STREET",
            "address_2": "SUITE 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055733",
            "telephone_number": "605-339-3222",
            "fax_number": "605-339-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 37TH STREET",
            "address_2": "SUITE 110",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055733",
            "telephone_number": "605-339-3222",
            "fax_number": "605-339-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.