Individual provider Active NPI

Jacques Benchimol, D.M.D

  • General Practice Dentistry
  • Coconut Creek, FL
National Provider Identifier
1780841940
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18114 Issued in FL
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

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN18114FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Family Dental, PLLC CurrentSince Aug 28, 2022 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.

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.

Verify at the official NPI Registry.