Andrew Benbow, DDS, MDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10878 Issued in SC

Practice address

233 E Blackstock Rd Ste D
Spartanburg, SC 29301-2652

Phone

(864) 576-3678

NPI assigned

Jun 15, 2018

Last updated

Sep 19, 2024By 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

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donelson Smiles Dentistry, PC

  dba Donelson Smiles Dentistry

  • Dentist
  • Nashville, TN
  • NPI 1912387242
  NPD (past)

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1386138188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD STE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "903-278-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD STE D",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-576-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENBOW",
        "first_name": "ANDREW",
        "credential": "DDS, MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "10878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Vision, LLC
• Larkin Bello, PHARMD
• Belue Chiropractic Inc
• C. Derrick Belue, DC
• Everett Lee Belvin II, MD
• Benchmark Healthcare Services LLC
• Douglas Neal Benecke, PA-C
• Abigail Rose Benito, CCC-SLP
• Annette Louise Bennett-Burnett, M.D.
• Brooke Bennett

• Endodontics in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.

Verify at the official NPI Registry.