Active NPI
Benjamin Aaron Geller, D.D.S., M.S.D.
- Prosthodontics
- San Juan, PR
National Provider Identifier
1508001462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 61597
- Practice address
- 10 Calle Casia
San Juan, PR 00921-3200 - Phone
- (787) 641-7582
- NPI assigned
- Dec 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 61597 | CA | Primary |
Addresses
Primary practice location
10 Calle Casia
San Juan, PR 00921-3200
Mailing address
252 Hampton Dr
Unit E
Venice, CA 90291-8641
Phone (787) 512-5222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61597 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1508001462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 HAMPTON DR",
"address_2": "UNIT E",
"city": "VENICE",
"state": "CA",
"postal_code": "902918641",
"telephone_number": "787-512-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE CASIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009213200",
"telephone_number": "787-641-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "BENJAMIN",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-07",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CA",
"license": "61597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- GDS Healing Hands, LLC (Healing Hands Chiropractic Center)
- Gilberto R Geigel Cervoni, PSY D
- Geigel Integrative Health LLC
- Monica Marie Geigel Lameiro, ND
- Kenneth Paul Geil, MD
- Gelpi Brothers Inc
- Ricardo Jose Gelpi Santiago
- Leticia Gely Rojas, M.D.
- Maria Isabel Gely, D.M.D.
- Genepharma Corp. (Farmacias Plaza 17)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.