Active NPI
Benjamin Dean Pinkston, D.D.S.
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1386923423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6295
- Practice address
- 2821 NW 57TH St
Suite 100
Oklahoma City, OK 73112-7046 - Phone
- (405) 843-9731
- Fax
- (405) 843-9743
- NPI assigned
- Aug 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6295 | OK | Primary |
Addresses
Primary practice location
2821 NW 57TH St
Suite 100
Oklahoma City, OK 73112-7046
Mailing address
2821 NW 57TH St
Suite 100
Oklahoma City, OK 73112-7046
Phone (405) 843-9731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119000416 | OK | Order and Referring Only - Dentist | 1254631435 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6295 | OK | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1386923423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 NW 57TH ST",
"address_2": "SUITE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127046",
"telephone_number": "405-843-9731",
"fax_number": "405-843-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 NW 57TH ST",
"address_2": "SUITE 100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731127046",
"telephone_number": "405-843-9731",
"fax_number": "405-843-9743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINKSTON",
"first_name": "BENJAMIN",
"middle_name": "DEAN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-08",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.