Individual provider Active NPI

Arthur Eric Benzick, MD

  • Pediatrics Physician
  • Southlake, TX
National Provider Identifier
1376500843
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K0418 Issued in TX
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

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
K0418TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Pediatrics Current Accepting new patients
Healthtexas Provider Network CurrentSince Jan 19, 2010 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 19, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.