NPIMap

Organization Active NPI

Kenneth J. Benjamin, DPM, PA

  • Podiatrist
  • Frederick, MD
National Provider Identifier
1770764938
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00592 Issued in MD
Legal business name
KENNETH J. BENJAMIN, DPM, PA
Practice address
198 Thomas Johnson Drive
Suite 3
Frederick, MD 21702-4448
Phone
(301) 695-9669
Fax
(301) 695-0346
NPI assigned
Nov 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Kenneth James BenjaminNPI 1932104007
Title
Owner
Phone
(301) 695-9669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00592 MD Primary

Addresses

Primary practice location

198 Thomas Johnson Drive
Suite 3
Frederick, MD 21702-4448

Mailing address

198 Thomas Johnson Drive
Suite 3
Frederick, MD 21702
Phone (301) 695-9669

National Provider Directory

National Provider Directory

Locations

198 Thomas Johnson Dr
Ste 34
Frederick, MD 21702
Phone (301) 695-9669

198 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 631-5300

198 Thomas Johnson Dr
Ste 3
Frederick, MD 21702
Phone (301) 695-9669

1001 Twin Arch Rd
Ste 3
Mount Airy, MD 21771
Phone (301) 829-5111

1001 Twin Arch Rd
Ste 3B
Mount Airy, MD 21771
Phone (301) 829-5111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1770764938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-695-9669",
            "fax_number": "301-695-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 3",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024448",
            "telephone_number": "301-695-9669",
            "fax_number": "301-695-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. BENJAMIN, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-695-9669"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.