NPIMap

Organization Active NPI

Timothy a. Benich DDS, PC

  • Preferred Provider Organization
  • Woodstock, GA
National Provider Identifier
1689083347
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
7987 Issued in GA
Legal business name
TIMOTHY A. BENICH DDS, PC
Practice address
6304 Old Highway 5
100
Woodstock, GA 30188-2452
Phone
(770) 924-0157
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Timothy BenichNPI 1083791826
Title
Owner
Phone
(770) 924-0157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 7987 GA Primary

Addresses

Primary practice location

6304 Old Highway 5
100
Woodstock, GA 30188-2452

Mailing address

6304 Old Highway 5
100
Woodstock, GA 30188-2452

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.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1689083347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 OLD HIGHWAY 5",
            "address_2": "100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 OLD HIGHWAY 5",
            "address_2": "100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882452",
            "telephone_number": "770-924-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A. BENICH DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "BENICH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-924-0157"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "7987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.