NPIMap

Organization Active NPI

Ab1, PLLC

Doing business as Old Betsy Dental of Keene

  • Dental Clinic/Center
  • Keene, TX
National Provider Identifier
1720744287
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AB1, PLLC
Doing business as
Old Betsy Dental of Keene
Practice address
104 S Old Betsy Rd
Keene, TX 76059-2425
Phone
(817) 641-2272
NPI assigned
Nov 9, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Brock Bennion, DDSNPI 1912573205
Title
Co-Owner/Dentist
Phone
(801) 227-9234

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

104 S Old Betsy Rd
Keene, TX 76059-2425

Mailing address

104 S Old Betsy Rd
Keene, TX 76059-2425
Phone (817) 641-2272

Other names 1

  • Old Betsy Dental of Keene Doing business as

National Provider Directory

National Provider Directory

Locations

104 S Old Betsy Rd
Keene, TX 76059
Phone (817) 641-2272

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1720744287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S OLD BETSY RD",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760592425",
            "telephone_number": "817-641-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S OLD BETSY RD",
            "city": "KEENE",
            "state": "TX",
            "postal_code": "760592425",
            "telephone_number": "817-641-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "BENNION",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "CO-OWNER/DENTIST",
        "authorized_official_telephone_number": "801-227-9234",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Betsy Dental of Keene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.