Active NPI
Arthur Eric Benzick, MD
- Pediatrics Physician
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K0418
- Practice address
- 731 E Southlake Blvd
100
Southlake, TX 76092-6010 - Phone
- (817) 424-3366
- Fax
- (817) 552-8540
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K0418 | TX | Primary |
Addresses
Primary practice location
731 E Southlake Blvd
100
Southlake, TX 76092-6010
Mailing address
731 East Southlake Blvd
100
Southlake, TX 76092-6010
Phone (817) 424-3366
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebenzick218195@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100426000049 | TX | Practitioner - Pediatric Medicine | 5496882383 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0418 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Pediatrics | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
925 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 912-8560
731 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 424-3366
Interoperability endpoints
- ebenzick218195@direct.sw.org
Organizations & group practices 4
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.
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- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1376500843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 EAST SOUTHLAKE BLVD",
"address_2": "100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926010",
"telephone_number": "817-424-3366",
"fax_number": "817-552-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E SOUTHLAKE BLVD",
"address_2": "100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926010",
"telephone_number": "817-424-3366",
"fax_number": "817-552-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENZICK",
"first_name": "ARTHUR",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K0418",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebenzick218195@direct.sw.org",
"affiliation": "N",
"address_1": "925 E Southlake Blvd Ste 100",
"city": "Southlake",
"state": "TX",
"country_code": "US",
"postal_code": "760921477",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.