NPIMap

Organization Active NPI

Bencaz Family Dentistry LLC

Doing business as Jimmie Hammack Family Dentistry

  • Dentist
  • Denham Springs, LA
National Provider Identifier
1639573637
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5623 Issued in LA
Legal business name
BENCAZ FAMILY DENTISTRY LLC
Doing business as
Jimmie Hammack Family Dentistry
Practice address
305 Veterans Blvd
Denham Springs, LA 70726-4722
Phone
(225) 664-3535
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Jarrad Bencaz, DDSNPI 1740440270
Title
Owner
Phone
(225) 665-2417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5623 LA Primary

Addresses

Primary practice location

305 Veterans Blvd
Denham Springs, LA 70726-4722

Mailing address

305 Veterans Blvd
Denham Springs, LA 70726-4722
Phone (225) 664-3535

Other names 1

  • Jimmie Hammack Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1639573637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-664-3535",
            "fax_number": "225-664-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264722",
            "telephone_number": "225-664-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCAZ FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "BENCAZ",
        "authorized_official_first_name": "JARRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-665-2417",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "5623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jimmie Hammack Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.