Benjamin Underwood, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901021514 Issued in MI

Practice address

6213 Chicago Rd
100
Warren, MI 48092-1697

Phone

(586) 264-5410

NPI assigned

May 30, 2015

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Benjamin J Underwood DDS LLC

  dba Village Place Dental

  • General Practice Dentistry
  • Warren, MI
  • NPI 1710449459
  NPD (past)
• Caredent PLLC

  dba Village Place Dental

  • General Practice Dentistry
  • Warren, MI
  • NPI 1750504486
  NPD (past)

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1619357159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 WORTHINGTON RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881561",
            "telephone_number": "734-306-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 CHICAGO RD",
            "address_2": "100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921697",
            "telephone_number": "586-264-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "BENJAMIN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U & U Network Care Inc
• U.S. Discount Pharmacy LLC
• Nasir Uddin, PHARMD
• Ugochukwu Udu
• Undercurrent Behavioral Health LLC
• Unique Smiles Dental
• United Homecare LLC
• United Med.Equip.& Supplies,Inc.
• Universal Clinic and Urgent Care PC
• Universal Dental Group P.L.L.C. (Universal Dental Center)

• Dentist in Warren, MI
• Providers in Warren, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.