NPIMap

Organization Active NPI

John L. Benecchi, DMD

  • General Practice Dentistry
  • Revere, MA
National Provider Identifier
1780829705
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13275 Issued in MA
Legal business name
JOHN L. BENECCHI, DMD
Practice address
140 School St
Revere, MA 02151-3013
Phone
(781) 289-0839
Fax
(781) 286-1949
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. John L Benecchi, DMDNPI 1568577864
Title
Owner
Phone
(781) 289-0839

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 13275 MA Primary

Addresses

Primary practice location

140 School St
Revere, MA 02151-3013

Mailing address

140 School St
Revere, MA 02151-3013
Phone (781) 289-0839

Other identifiers 1

IdentifierTypeStateIssuer
0250023MedicaidMA

National Provider Directory

National Provider Directory

Locations

140 School St
Revere, MA 02151
Phone (781) 289-0839

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": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1780829705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SCHOOL ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513013",
            "telephone_number": "781-289-0839",
            "fax_number": "781-286-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SCHOOL ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513013",
            "telephone_number": "781-289-0839",
            "fax_number": "781-286-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. BENECCHI, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "BENECCHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-289-0839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250023",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.