Individual provider Active NPI

Dan Taylor Benscoter II, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Weatherford, TX
National Provider Identifier
1770566259
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K9022 Issued in TX
Practice address
713 E Anderson St
Weatherford, TX 76086-5705
Phone
(214) 638-2000
Fax
(214) 237-1864
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 4304 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 208A9257 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS9574 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 056529 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 36114426 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X H63230 MD
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 1906 MN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 192182 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4345 OK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OS005290L PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X K9022 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 58676861204 UT

Addresses

Primary practice location

713 E Anderson St
Weatherford, TX 76086-5705

Mailing address

1355 River Bend Dr
Dallas, TX 75247-4915
Phone (214) 638-2000

Other identifiers 1

IdentifierTypeStateIssuer
8M8255OtherTXBCBS

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
208A9257CAMDAnatomic Pathology & Clinical Pathology Physician
OS9574FLMDAnatomic Pathology & Clinical Pathology Physician
056529GAMDAnatomic Pathology & Clinical Pathology Physician
36114426ILMDAnatomic Pathology & Clinical Pathology Physician
H63230MDMDAnatomic Pathology & Clinical Pathology Physician
1906MNMDAnatomic Pathology & Clinical Pathology Physician
192182NYMDAnatomic Pathology & Clinical Pathology Physician
4345OKMDAnatomic Pathology & Clinical Pathology Physician
OS005290LPAMDAnatomic Pathology & Clinical Pathology Physician
K9022TXMDAnatomic Pathology & Clinical Pathology Physician
58676861204UTMDAnatomic Pathology & Clinical Pathology Physician
4304AZMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1770566259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "214-638-2000",
            "fax_number": "214-237-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E ANDERSON ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865705",
            "telephone_number": "214-638-2000",
            "fax_number": "214-237-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSCOTER",
        "first_name": "DAN",
        "middle_name": "TAYLOR",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "AZ",
            "license": "4304",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "208A9257",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "OS9574",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "056529",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "36114426",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "H63230",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "1906",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "192182",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "4345",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "OS005290L",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K9022",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "58676861204",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M8255",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.