Active NPI
Jacques Benchimol, D.M.D
- General Practice Dentistry
- Coconut Creek, FL
National Provider Identifier
1780841940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18114
- Practice address
- 5359 Lyons Rd
Coconut Creek, FL 33073-2825 - Phone
- (954) 397-1452
- NPI assigned
- May 16, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18114 | FL | Primary |
Addresses
Primary practice location
5359 Lyons Rd
Coconut Creek, FL 33073-2825
Mailing address
6124 NW 45TH Ter
Coconut Creek, FL 33073-1955
Phone (954) 397-1452
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18114 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ormond Family Dental, PLLC | Current | Accepting new patients | |
| Healthy Smiles Dental of Port Saint Lucie FL PLLC | Current | Accepting new patients |
Locations
1200 W Granada Blvd
Ste 2
Ormond Beach, FL 32174
Phone (386) 275-1792
Organizations & group practices 2
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
- Port Saint Lucie, FL
- NPI 1205554300
-
- Dental Clinic/Center
- Ormond Beach, FL
- NPI 1033837133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1780841940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 NW 45TH TER",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330731955",
"telephone_number": "954-397-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5359 LYONS RD",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732825",
"telephone_number": "954-397-1452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCHIMOL",
"first_name": "JACQUES",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.