Individual provider Active NPI

Maridel Francisco Benigno, RDHAP

  • Dental Hygienist
  • Elk Grove, CA
National Provider Identifier
1417573205
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP541 Issued in CA
Practice address
8936 Capote Way
Elk Grove, CA 95758-8026
Phone
(916) 271-5711
NPI assigned
Jun 17, 2020
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X HAP541 CA Primary

Addresses

Primary practice location

8936 Capote Way
Elk Grove, CA 95758-8026

Mailing address

8936 Capote Way
Elk Grove, CA 95758-8026
Phone (916) 271-5711

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

LicenseStateTypeSpecialty
HAP541CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Maridel Francisco Benigno Rdhap Dental Hygienist PastSince Jun 21, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1417573205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 CAPOTE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588026",
            "telephone_number": "916-271-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8936 CAPOTE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588026",
            "telephone_number": "916-271-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIGNO",
        "first_name": "MARIDEL",
        "middle_name": "FRANCISCO",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.