Active NPI
Tyler Anthony Beninati, DMD
- Pediatric Dentistry
- Antioch, CA
National Provider Identifier
1770040412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 106310
- Practice address
- 3432 Hillcrest Ave Ste 150
Antioch, CA 94531-6310 - Phone
- (925) 503-1123
- Fax
- (925) 503-1456
- NPI assigned
- Mar 1, 2019
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 106310 | CA | Primary |
Addresses
Primary practice location
3432 Hillcrest Ave Ste 150
Antioch, CA 94531-6310
Mailing address
3432 Hillcrest Ave Ste 150
Antioch, CA 94531-6310
Phone (925) 503-1123
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Beninati, DMD, PC | Current | Accepting new patients | |
| Lee,N.Grace DDS,Inc | Past | Accepting new patients | |
| D Park MPH DDS Dental Corporation | Past | Accepting new patients |
Locations
3432 Hillcrest Ave
Ste 150
Antioch, CA 94531
Phone (925) 503-1123
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Antioch, CA
- NPI 1104616218
-
- General Practice Dentistry
- Stockton, CA
- NPI 1124572284
-
- General Practice Dentistry
- Stockton, CA
- NPI 1497095749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1770040412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3432 HILLCREST AVE STE 150",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945316310",
"telephone_number": "925-503-1123",
"fax_number": "925-503-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3432 HILLCREST AVE STE 150",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945316310",
"telephone_number": "925-503-1123",
"fax_number": "925-503-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENINATI",
"first_name": "TYLER",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "106310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.