Samir Abderrahmane Benachenhou, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12621 Issued in MD

Practice address

101 Baughmans LN
Suite 201
Frederick, MD 21702-4894

Phone

(301) 662-0554

Fax

(301) 662-0587

NPI assigned

Oct 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abderrahmane Samir Benachenhou Former name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1780910745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAUGHMANS LN",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024894",
            "telephone_number": "301-662-0554",
            "fax_number": "301-662-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAUGHMANS LN",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024894",
            "telephone_number": "301-662-0554",
            "fax_number": "301-662-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENACHENHOU",
        "first_name": "SAMIR",
        "middle_name": "ABDERRAHMANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDERRAHMANE",
            "last_name": "BENACHENHOU",
            "middle_name": "SAMIR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Bell
• Katherine Victoria Bell, DDS
• Lashell Mae Bell
• Lori Bell
• Micah Z Belzberg, MD
• Kristin Benante
• Pooja Bendala
• Catherine Anne Bender, CCC-SLP
• Edward Bendert III
• Kenneth James Benjamin, D.P.M.

• General Practice Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.