Organization Active NPI

Eric Benson DDS LLC

  • General Practice Dentistry
  • Rochester, NY
National Provider Identifier
1497024194
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048127 Issued in NY
Legal business name
ERIC BENSON DDS LLC
Practice address
774 Elmgrove Rd
Rochester, NY 14624-1318
Phone
(585) 426-0810
Fax
(585) 426-0479
NPI assigned
Dec 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Dr. Eric E Benson, DDSNPI 1093830119
Title
Member
Phone
(585) 426-0810

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 048127 NY Primary

Addresses

Primary practice location

774 Elmgrove Rd
Rochester, NY 14624-1318

Mailing address

774 Elmgrove Rd
Rochester, NY 14624-1318
Phone (585) 426-0810

Other names 1

  • ROC Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

774 Elmgrove Rd
Rochester, NY 14624
Phone (585) 426-0810

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1497024194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 ELMGROVE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241318",
            "telephone_number": "585-426-0810",
            "fax_number": "585-426-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ELMGROVE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241318",
            "telephone_number": "585-426-0810",
            "fax_number": "585-426-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC BENSON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-426-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROC Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.