James Willis Bentley Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32025 Issued in CA

Practice address

14126 Sherman Way
Unit 3
Van Nuys, CA 91405-5600

Phone

(818) 373-0092

NPI assigned

Aug 13, 2006

Last updated

Jul 9, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356353429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14126 SHERMAN WAY",
            "address_2": "UNIT 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055600",
            "telephone_number": "818-373-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14126 SHERMAN WAY",
            "address_2": "UNIT 3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055600",
            "telephone_number": "818-373-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JAMES",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B32025",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Bennett-Dunn
• Devin Bennett
• Frances Lucille Bennett, LMFT124984
• Sheila Bennett
• Benom Home Health Care, Inc.
• Nelli Berberyan, NP
• Emmett A. Berg, D.O.
• Lauren Bergamo, M.A.
• Linda Marie Bergman, RN,WHCNP
• Aziz Berjis, DPM

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.