Benjamin Joseph Osborne, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D009330 Issued in AZ

Practice address

122 Gilmore Dr
Seneca, PA 16346-2436

Phone

(814) 677-2524

NPI assigned

Aug 18, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1386010940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GILMORE DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 GILMORE DR",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163462436",
            "telephone_number": "814-677-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Ochs
• Chinwe Offor, MD
• Alexa Leann Ohle, PA-C
• Optical World 257 Inc.
• Marilyn Ann Orsino
• Edward Dale Osborne, DMD
• Anita Marie Ottobre, CRNA
• Darla Kay Pasikoski, OTR/L
• Danielle Payne, MPT
• Shannon Kristen Penland, MD

• Dentist in Seneca, PA
• Providers in Seneca, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.