Organization Active NPI

Morgan & Bentsen DDS PA

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1760420319
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4933 Issued in NC
Legal business name
MORGAN & BENTSEN DDS PA
Practice address
532 N Elam Ave
Greensboro, NC 27403-1146
Phone
(336) 292-4331
Fax
(336) 316-7022
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lee J Bentsen, DDS
Title
Partner
Phone
(336) 292-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4933 NC Primary

Addresses

Primary practice location

532 N Elam Ave
Greensboro, NC 27403-1146

Mailing address

532 N Elam Ave
Greensboro, NC 27403-1146
Phone (336) 292-4331

Other identifiers 1

IdentifierTypeStateIssuer
8996185MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760420319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031146",
            "telephone_number": "336-292-4331",
            "fax_number": "336-316-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031146",
            "telephone_number": "336-292-4331",
            "fax_number": "336-316-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN & BENTSEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTSEN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "336-292-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.