NPIMap

Organization Active NPI

Benson Family Dentistry, LLC

  • General Practice Dentistry
  • Saint Paul, NE
National Provider Identifier
1770958308
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7018 Issued in NE
Legal business name
BENSON FAMILY DENTISTRY, LLC
Practice address
718 6TH St
Saint Paul, NE 68873-2015
Phone
(308) 754-4296
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Andrew V Benson, DDS
Title
Owner/President
Phone
(308) 754-4296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7018 NE Primary

Addresses

Primary practice location

718 6TH St
Saint Paul, NE 68873-2015

Mailing address

809 6TH St
Saint Paul, NE 68873-1604
Phone (308) 754-4296

Other names 1

  • Saint Paul Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Benson Family Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1770958308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 6TH ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688731604",
            "telephone_number": "308-754-4296",
            "fax_number": "308-754-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 6TH ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732015",
            "telephone_number": "308-754-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "308-754-4296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Paul Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.