Benjamin Zike, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10770 Issued in OR

Practice address

1103 3Rd St
Tillamook, OR 97141

Phone

(503) 842-6666

Fax

(503) 842-1366

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Benjamin Zike DDS

  • Dental Clinic/Center
  • Tillamook, OR
  • NPI 1902363393
  NPD (past) Authorized official
• Thompson Mainstay LLC

  • Dental Clinic/Center
  • Tillamook, OR
  • NPI 1770399875
  NPD
• Abraza Dental Group LLC

  • Dentist
  • Las Vegas, NV
  • NPI 1073963757
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679097448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413402",
            "telephone_number": "503-842-6666",
            "fax_number": "503-842-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 3RD ST",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "97141",
            "telephone_number": "503-842-6666",
            "fax_number": "503-842-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5642 S Eastern Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891192310",
            "country_code": "US",
            "telephone_number": "702-456-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIKE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6965",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alegra Wolff-Lynne, LMT
• Cassandra Wolfson, LCSW
• Janice Carol Wolk, RD, CDE
• Mary Jo Wood, LPC
• Dustin Renee Young, MSW
• Stacie Lynn Zuercher

• General Practice Dentistry in Tillamook, OR
• Providers in Tillamook, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.