Individual provider Active NPI

Benjamin Allen Lashley, D.D..

  • Dentist
  • North Platte, NE
National Provider Identifier
1619993862
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6207 Issued in NE
Practice address
805 S Maple St
North Platte, NE 69101-5282
Phone
(308) 534-1289
Fax
(308) 534-1530
NPI assigned
Jul 14, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6207 NE Primary

Addresses

Primary practice location

805 S Maple St
North Platte, NE 69101-5282

Mailing address

247 N Maloney Dr
North Platte, NE 69101-8901
Phone (308) 534-8648

Other identifiers 1

IdentifierTypeStateIssuer
47083097400MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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

Enrollment IDStateProvider typePAC IDDetails
I20170104000930 SD Practitioner - Oral Surgery 9739252008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6207NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Winner Regional Healthcare Center Current Accepting new patients
Winner Regional Healthcare Center Past Accepting new patients
Winner Regional Healthcare Center Past Accepting new patients

Locations

745 E 8th St
Winner, SD 57580
Phone (605) 842-2626

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1619993862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N MALONEY DR",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691018901",
            "telephone_number": "308-534-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S MAPLE ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015282",
            "telephone_number": "308-534-1289",
            "fax_number": "308-534-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHLEY",
        "first_name": "BENJAMIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D..",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083097400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.