Dr Terrance J Benda SC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

391-25 Issued in WI

Legal business name

DR TERRANCE J BENDA SC

Practice address

1626 S Main St
West Bend, WI 53095-4936

Phone

(262) 334-5137

Fax

(262) 334-2009

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Terrance J Benda, DPM

Title

Podiatrist

Phone

(262) 334-5137

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1386975035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954936",
            "telephone_number": "262-334-5137",
            "fax_number": "262-334-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S MAIN ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530954936",
            "telephone_number": "262-334-5137",
            "fax_number": "262-334-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TERRANCE J BENDA SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "BENDA",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "262-334-5137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "391-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43206600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in West Bend, WI
• Providers in West Bend, WI by specialty
• Podiatrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.