Active NPI
Jessica Anne Bentson, DPM
- Podiatrist
- Bismarck, ND
National Provider Identifier
1386654424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 49
- Practice address
- 525 N 9TH St
Bismarck, ND 58501-4510 - Phone
- (701) 258-8120
- Fax
- (701) 222-0229
- NPI assigned
- Aug 9, 2006
- Last updated
- Oct 12, 2007
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 49 | ND | Primary |
Addresses
Primary practice location
525 N 9TH St
Bismarck, ND 58501-4510
Mailing address
525 N 9TH St
Bismarck, ND 58501-4510
Phone (701) 258-8120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12003 | Medicaid | ND |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 782 | MN | MD | Marriage & Family Therapist |
| 49 | ND | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maplewood Podiatry, LLC | Podiatrist | Past | Accepting new patients |
| Family Foot & Ankle Clinic PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Bismarck, ND
- NPI 1033258918
-
- Podiatrist
- Maplewood, MN
- NPI 1023069259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1386654424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014510",
"telephone_number": "701-258-8120",
"fax_number": "701-222-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014510",
"telephone_number": "701-258-8120",
"fax_number": "701-222-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTSON",
"first_name": "JESSICA",
"middle_name": "ANNE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "ND",
"license": "49",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12003",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
- Benedictine Living Communities - Bismarck Housing, LLC
- Benedictine Living Communities-Bismarck, Inc. (St. Gabriel's Community)
- Brooke Elizabeth Benson, RBT
- Ciara Krystal Benson
- Nelson B Benson, CRNA
- Kayla Marie Benz, APRN
- Patricia Berg, LMT
- Ty Berg
- April Anne Bergan, DPT
- Berger Chiropractic and Acupuncture
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.