Organization Active NPI

Betsy K Van Benthaysen DMD PLLC

  • Pediatric Dentistry
  • New Bern, NC
National Provider Identifier
1699231696
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BETSY K VAN BENTHAYSEN DMD PLLC
Practice address
218A S Front St
New Bern, NC 28560-2136
Phone
(252) 497-2557
NPI assigned
Feb 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Ms. Betsy Van Benthuysen, DMD
Title
Dentist
Phone
(919) 744-9364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

218A S Front St
New Bern, NC 28560-2136

Mailing address

218A S. Front Street
New Bern, NC 28560-2136
Phone (252) 497-2557

Other identifiers 1

IdentifierTypeStateIssuer
89902N7MedicaidNC

National Provider Directory

National Provider Directory

Locations

218 S Front St
#A
New Bern, NC 28560
Phone (252) 497-2557

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1699231696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218A S. FRONT STREET",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602136",
            "telephone_number": "252-497-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218A S FRONT ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602136",
            "telephone_number": "252-497-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETSY K VAN BENTHAYSEN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "VAN BENTHUYSEN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-744-9364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902N7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.