Active NPI
Chistine K Beninger, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1366698771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13720
- Practice address
- 1420 W Mockingbird LN
Suite 500
Dallas, TX 75247-4931 - Phone
- (214) 630-7078
- Fax
- (214) 630-7085
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13720 | TX | Primary |
Addresses
Primary practice location
1420 W Mockingbird LN
Suite 500
Dallas, TX 75247-4931
Mailing address
1420 W Mockingbird LN
Suite 500
Dallas, TX 75247-4931
Phone (214) 630-7078
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160769901 | Medicaid | TX | |
| 13720 | Other | TX | CHIP NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1366698771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 W MOCKINGBIRD LN",
"address_2": "SUITE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474931",
"telephone_number": "214-630-7078",
"fax_number": "214-630-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 W MOCKINGBIRD LN",
"address_2": "SUITE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474931",
"telephone_number": "214-630-7078",
"fax_number": "214-630-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENINGER",
"first_name": "CHISTINE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "13720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160769901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP NUMBER",
"identifier": "13720",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.