Benedict J Bachstein, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

22DI02411900 Issued in NJ

Practice address

303 S Kings Hwy
Suite 6
Cherry Hill, NJ 08034-2579

Phone

(215) 510-7414

NPI assigned

Jun 26, 2007

Last updated

Jul 22, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1578769535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S KINGS HWY",
            "address_2": "SUITE 6",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342579",
            "telephone_number": "215-510-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S KINGS HWY",
            "address_2": "SUITE 6",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342579",
            "telephone_number": "215-510-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHSTEIN",
        "first_name": "BENEDICT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02411900",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Babiasz, MA, BC-DMT
• Charlene Smith Babin, LPN
• Melissa Bacchus, PA-C
• Paolo Viloria Bacero, PT
• Charles Joseph Bachi IV, PT, DPT, OCS, SCS
• Back to Life Recovery Center, LLC
• Back to Life Wellness & Rehabilitation
• Lyle Marnin Back, M.D.
• Brittany Backman
• Katherine Nicole Bacola

• Endodontics in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Endodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.