Individual provider Active NPI

Geoffrey William Bennett, DDS

  • General Practice Dentistry
  • Delray Beach, FL
National Provider Identifier
1619499415
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22807 Issued in FL
Practice address
14811 Lyons Rd Ste 102
Delray Beach, FL 33446-9009
Phone
(561) 366-8478
NPI assigned
Jul 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22807 FL Primary

Addresses

Primary practice location

14811 Lyons Rd Ste 102
Delray Beach, FL 33446-9009

Mailing address

1299 SW 13TH St
Boca Raton, FL 33486-5307
Phone (786) 478-1739

Other practice location 1

2615 S State Road 7 # B-550
Wellington, FL 33414-9370
Phone (561) 364-2273

Other practice location 2

6080 Boynton Beach Blvd Ste 200
Boynton Beach, FL 33437-3586
Phone (561) 364-2273

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

State licenses

LicenseStateTypeSpecialty
DN22807FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Geoffrey W Bennett DDS PC Current Accepting new patients
Care Dental Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619499415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 SW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865307",
            "telephone_number": "786-478-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 LYONS RD STE 102",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469009",
            "telephone_number": "561-366-8478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 S State Road 7 # B-550",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334149370",
            "country_code": "US",
            "telephone_number": "561-364-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 Boynton Beach Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373586",
            "country_code": "US",
            "telephone_number": "561-364-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "GEOFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.