Andy Bennion D M D M S P C

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D7367 Issued in OR

Legal business name

ANDY BENNION D M D M S P C

Practice address

2233 Willamette St Ste a
Eugene, OR 97405-2890

Phone

(541) 687-1151

Fax

(541) 345-0126

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

David Anderson Bennion, D.M.D.

Title

Doctor

Phone

(541) 687-1151

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1649534124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-687-1151",
            "fax_number": "541-345-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WILLAMETTE ST STE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052890",
            "telephone_number": "541-687-1151",
            "fax_number": "541-345-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY BENNION D M D M S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "541-687-1151",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D7367",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Eugene, OR
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.