Nils Bengtson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12990 Issued in TX

Practice address

1900 S Kirkwood Rd
Suite C
Houston, TX 77077-6210

Phone

(281) 597-9419

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760401152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S KIRKWOOD RD",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776210",
            "telephone_number": "281-597-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S KIRKWOOD RD",
            "address_2": "SUITE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776210",
            "telephone_number": "281-597-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "NILS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niesha N Benford
• Shanteri Benford
• Bengal Health Center PLLC
• Britney Paige Benge, NP
• Jim Patrick Benge, MD
• Sarah Benham
• Benificial Billing and Consulting
• Terence Benigay
• Karissa Bianka Benincasa
• Benita Homecare, Inc (Benita Homecare)

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.