Thomas Erick Benjamin, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMAS ERICK BENJAMIN, LLC

Practice address

2620 Jackson Blvd
Ste B
Rapid City, SD 57702

Phone

(605) 593-0037

Fax

(605) 593-8351

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Benjamin, DDS

Title

Shareholder

Phone

(605) 348-1712

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Lynn Kelly, DDS

  • Dentist
  • Rapid City, SD
  • NPI 1588653281
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1568201150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD",
            "address_2": "STE B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57702",
            "telephone_number": "605-593-0037",
            "fax_number": "605-593-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS ERICK BENJAMIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "605-348-1712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Theis, MD
• Mikaela Theobald, PA-C
• Theres a Hart Inc.
• Alison Christina Thiebault, RBT
• Jennifer L Thimgan, CRNA
• Katlyn Thomas, RD
• Kelly Joe Thomas, BS MT(ASCP) CLS(NCA)
• Sandra E Thomas, LPC
• Taryn Alyssa Thomas
• Kimberly A Thome, P.A.C.

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.