Individual provider Active NPI

Benjamin Samuel Kruman, DDS

  • Orofacial Pain Dentistry
  • Walnut Creek, CA
National Provider Identifier
1518792324
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
110672 Issued in CA
Practice address
1399 Ygnacio Valley Rd Ste 2
Walnut Creek, CA 94598-2830
Phone
(707) 225-7338
NPI assigned
Sep 3, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orofacial Pain Dentistry 1223X2210X 110672 CA Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd Ste 2
Walnut Creek, CA 94598-2830

Mailing address

983 S Thompson Rd Apt 319
Lafayette, CA 94549-8323
Phone (248) 259-5799

Other practice location 1

450 Sutter St Rm 2042
San Francisco, CA 94108-4109
Phone (415) 917-2419

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

Practice roles

OrganizationSpecialtyStatusNew patients
Denielle C. Medynski, DMD, Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

1399 Ygnacio Valley Rd
Ste 2
Walnut Creek, CA 94598
Phone (650) 412-0123

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1518792324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 S THOMPSON RD APT 319",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945498323",
            "telephone_number": "248-259-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD STE 2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982830",
            "telephone_number": "707-225-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Sutter St Rm 2042",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084109",
            "country_code": "US",
            "telephone_number": "415-917-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUMAN",
        "first_name": "BENJAMIN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "110672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.