Benjamin G Diven, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

8234 Issued in NM

Practice address

Corner of Stewart and Breland
Student Health Center, Box 30001 MSC 3529
Las Cruces, NM 88003

Phone

(505) 646-8308

Fax

(505) 646-6428

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538276142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORNER OF STEWART AND BRELAND",
            "address_2": "STUDENT HEALTH CENTER, BOX 30001 MSC 3529",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "505-646-8308",
            "fax_number": "505-646-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF STEWART AND BRELAND",
            "address_2": "STUDENT HEALTH CENTER, BOX 30001 MSC 3529",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "505-646-8308",
            "fax_number": "505-646-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVEN",
        "first_name": "BENJAMIN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "8234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeka Diosas
• Dorothy A Dipace
• Direct Therapy Services, LLP
• Directed Support Services
• Stacy L. Disabato
• Adele Divito
• Nicole Dixon
• Wesley Dixon, RPH
• Joseph E Dizon, P.T.
• Maria Rowena Villanueva Dizon, PT

• General Practice Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.