Benjamin Joseph Wachter, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D009789 Issued in AZ

Practice address

2510 E Hunt Hwy Ste 29
Queen Creek, AZ 85143-5208

Phone

(480) 582-0753

NPI assigned

Jun 26, 2017

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 AZ

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

Locations

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.

• Pacific Dental Services Foundation

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1659848208
  Medicare reassignment NPD
• Desert Dentistry, PLLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1306160791
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1669992194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N ROANOKE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056308",
            "telephone_number": "480-907-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY STE 29",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435208",
            "telephone_number": "480-582-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "BENJAMIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc
• Vital Hormones and Weight Loss
• Caren E Voepel, PHARM.D.
• Mary Vogl, RN
• W.E. Care Mobile Health PLLC
• Cameron David Wagner, DO, MBA
• Kimberly Renea Wainscott
• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc.
• Walgreen Co

• Dentist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.