Nannette Benedict, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26737 Issued in CA

Practice address

5015 Scotts Valley Dr
Ste a
Scotts Valley, CA 95066-4209

Phone

(831) 440-9214

Fax

(831) 438-6412

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1508925322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 SCOTTS VALLEY DR",
            "address_2": "STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664209",
            "telephone_number": "831-440-9214",
            "fax_number": "831-438-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SCOTTS VALLEY DR",
            "address_2": "STE A",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664209",
            "telephone_number": "831-440-9214",
            "fax_number": "831-438-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "NANNETTE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Barson
• Christine Bassi, LCSW, CADC II
• Connor Scott Sheffield Bauld
• Allison Baumsteiger
• Natallea Bazor
• Mara Elizabeth Benitez
• Allison Bennett
• Meghan Joy Bensen, DPT
• John D Bergren, MD
• Christopher James Bernardi, D.O.

• General Practice Dentistry in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.