Active NPI
Benjamin J Hodges & Associates PA
- General Practice Dentistry
- Pensacola, FL
National Provider Identifier
1417294695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN19460
- Legal business name
- BENJAMIN J HODGES & ASSOCIATES PA
- Practice address
- 4400 Bayou Blvd
Ste 3a
Pensacola, FL 32503-2673 - Phone
- (850) 478-4260
- NPI assigned
- Jan 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin J Hodges
- Title
- President
- Phone
- (850) 478-4260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN19460 | FL | Primary |
Addresses
Primary practice location
4400 Bayou Blvd
Ste 3a
Pensacola, FL 32503-2673
Mailing address
4400 Bayou Blvd
Ste 3a
Pensacola, FL 32503-2673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08878360 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
4400 Bayou Blvd
Ste 3A
Pensacola, FL 32503
Phone (850) 478-4260
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Pensacola, FL
- NPI 1518183870
-
- Dentist
- Pensacola, FL
- NPI 1649380577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357689600000",
"number": "1417294695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 BAYOU BLVD",
"address_2": "STE 3A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 BAYOU BLVD",
"address_2": "STE 3A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032673",
"telephone_number": "850-478-4260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN J HODGES & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-09",
"last_updated": "2013-01-09",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-478-4260",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN19460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08878360",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.