Individual provider Active NPI

Neville Benjamin, DDS, MSC.D

  • General Practice Dentistry
  • West Palm Beach, FL
National Provider Identifier
1457560856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9545 Issued in FL
Practice address
470 Columbia Dr
Suite D 101
West Palm Beach, FL 33409-1997
Phone
(561) 640-9200
Fax
(561) 640-9204
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9545 FL Primary

Addresses

Primary practice location

470 Columbia Dr
Suite D 101
West Palm Beach, FL 33409-1997

Mailing address

470 Columbia Dr
Suite D 101
West Palm Beach, FL 33409-1997
Phone (561) 640-9200

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
9545FLMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457560856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 COLUMBIA DR",
            "address_2": "SUITE D 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091997",
            "telephone_number": "561-640-9200",
            "fax_number": "561-640-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COLUMBIA DR",
            "address_2": "SUITE D 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091997",
            "telephone_number": "561-640-9200",
            "fax_number": "561-640-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "NEVILLE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSC.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.