Active NPI
Benjamin Vavra, DDS
- General Practice Dentistry
- Elk River, MN
National Provider Identifier
1700470226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D14698
- Practice address
- Elk River Family Dentistry
303 Main St NW
Elk River, MN 55330 - Phone
- (734) 441-9181
- NPI assigned
- Feb 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D14698 | MN | Primary |
Addresses
Primary practice location
Elk River Family Dentistry
303 Main St NW
Elk River, MN 55330
Mailing address
Jacobi Medical Center
1400 Pelham Parkway South
Bronx, NY 10461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14698 | MN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1700470226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JACOBI MEDICAL CENTER",
"address_2": "1400 PELHAM PARKWAY SOUTH",
"city": "BRONX",
"state": "NY",
"postal_code": "10461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELK RIVER FAMILY DENTISTRY",
"address_2": "303 MAIN ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "55330",
"telephone_number": "734-441-9181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAVRA",
"first_name": "BENJAMIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2025-04-22",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "D14698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.