Active NPI
Benjamin Lars Pinney, D.M.D.
- General Practice Dentistry
- Juneau, AK
National Provider Identifier
1417187048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1288
- Practice address
- 400 Willoughby Ave Ste 208
Juneau, AK 99801-1700 - Phone
- (907) 586-1385
- NPI assigned
- Jul 16, 2009
- 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 | 1288 | AK | Primary |
Addresses
Primary practice location
400 Willoughby Ave Ste 208
Juneau, AK 99801-1700
Mailing address
400 Willoughby Ave Ste 208
Juneau, AK 99801-1700
Phone (907) 586-1385
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1288 | AK | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1417187048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WILLOUGHBY AVE STE 208",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011700",
"telephone_number": "907-586-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WILLOUGHBY AVE STE 208",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998011700",
"telephone_number": "907-586-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINNEY",
"first_name": "BENJAMIN",
"middle_name": "LARS",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AK",
"license": "1288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.