Benjamin Jemison Hodges, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19460 Issued in FL

Practice address

4400 Bayou Blvd Ste 3a
Pensacola, FL 32503-1905

Phone

(850) 478-4260

Fax

(850) 478-4618

NPI assigned

Apr 17, 2007

Last updated

Jan 27, 2012By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Benjamin J Hodges & Associates PA

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1417294695
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1518183870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031905",
            "telephone_number": "850-478-4260",
            "fax_number": "850-478-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BAYOU BLVD STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031905",
            "telephone_number": "850-478-4260",
            "fax_number": "850-478-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "BENJAMIN",
        "middle_name": "JEMISON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3235-02",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08878360",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Paul Hobgood IV, LMT
• Shannon Randall Hobgood, M.D.
• Hodge & Company LLC
• John Daniel Hodge, DDS
• Tanya Renee Hodge, APRN-BC
• John L Hodges, PH.D.
• Kelly Ann Hodgson
• Frank Brooks Hodnette Jr., MD FACS
• Matthew Henry Hoefer, DO
• David Nick Hoellen, M.S., ATC, LAT

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, 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 Jan 27, 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.

Verify at the official NPI Registry.