Individual provider Active NPI

Benjamin Simon McCarty, D.M.D

  • Dentist
  • Norfolk, VA
National Provider Identifier
1730402421
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401412463 Issued in VA
Practice address
1170 Lexan Ave Ste 187
Norfolk, VA 23508
Phone
(757) 440-1360
Fax
(757) 440-1361
NPI assigned
Mar 9, 2010
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401412463 VA Primary

Addresses

Primary practice location

1170 Lexan Ave Ste 187
Norfolk, VA 23508

Mailing address

1170 Lexan Ave Ste 187
Norfolk, VA 23508-1237
Phone (757) 440-1360

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

LicenseStateTypeSpecialty
0401412463VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin McCarty DMD PLLC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1730402421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 LEXAN AVE STE 187",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235081237",
            "telephone_number": "757-440-1360",
            "fax_number": "757-440-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 LEXAN AVE STE 187",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23508",
            "telephone_number": "757-440-1360",
            "fax_number": "757-440-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "BENJAMIN",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.