Yesell Candelario Benitez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23625 Issued in FL

Practice address

6779 Taft St
Hollywood, FL 33024-3902

Phone

(954) 719-6267

NPI assigned

May 13, 2016

Last updated

Nov 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• New Roots Dentistry LLC

  • Dental Clinic/Center
  • Ormond Beach, FL
  • NPI 1336849025
  NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1487000998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8233 HARDING AVE APT 403",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415216",
            "telephone_number": "786-307-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6779 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243902",
            "telephone_number": "954-719-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO BENITEZ",
        "first_name": "YESELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025552",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENSE",
            "identifier": "DN23625",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DENTAL LICENSE",
            "identifier": "30025552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cancer Cure PA
• Cancer Healthcare Associates, P.L. (Advanced Oncology Specialists)
• Dainerys Cancio Mursuli
• Lori Ann Cancio, LCSW
• Catheryn Cristina Candanoza, FNP-BC
• Dalinda A Canela-Pichardo, DDS
• Edison Jose Cano Cevallos, M.D.
• Cano Health, LLC
• Cano Pediatrics, LLC
• Roberto A Cano, M.D.

• General Practice Dentistry in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.