Bennett Spanish Springs Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

010-1001925939 Issued in NV

Legal business name

BENNETT SPANISH SPRINGS MEDICAL GROUP

Practice address

3380 N Truckee LN
Sparks, NV 89434-1570

Phone

(775) 355-3208

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katharine Starr Bennett, M.D.

Title

Secretary Treasurer

Phone

(775) 355-3208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790829471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 N TRUCKEE LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894341570",
            "telephone_number": "775-355-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 N TRUCKEE LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894341570",
            "telephone_number": "775-355-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT SPANISH SPRINGS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "775-355-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "010-1001925939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bendayan
• Kenneth Jay Bender, RPH
• Christine Benedetti, M.A. BCBA LBA (NV)
• Sandra Lee Benedict
• Sydney Carole Benger
• Jeannette Benson
• Jeimy J Bernal
• Nichole Bernal
• Lori Ann Bescup, LCSW
• Cody Lee Besso, D.M.D.

• Family Medicine Physician in Sparks, NV
• Providers in Sparks, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.