Individual provider Active NPI

Robert Joseph Bencic, DDS

  • General Practice Dentistry
  • Ahoskie, NC
National Provider Identifier
1801071774
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9684 Issued in NC
Practice address
100 Health Center Dr
Ahoskie, NC 27910-8161
Phone
(252) 737-7200
NPI assigned
Jan 9, 2008
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35529 NY
General Practice Dentistry 1223G0001X 9684 NC Primary
General Practice Dentistry 1223G0001X HAD52 FL

Addresses

Primary practice location

100 Health Center Dr
Ahoskie, NC 27910-8161

Mailing address

412 Captains CV
Unit E
Edenton, NC 27932-8862
Phone (850) 228-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160802000944 NC Practitioner - Dentist 7618261413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HAD52FLMDGeneral Practice Dentistry
35529NYMDGeneral Practice Dentistry
9684NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince May 7, 2016 Accepting new patients
East Carolina University CurrentSince May 7, 2016 Accepting new patients
East Carolina University Current Accepting new patients

Locations

100 Health Center Dr
Ahoskie, NC 27910
Phone (252) 332-1904

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1801071774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CAPTAINS CV",
            "address_2": "UNIT E",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328862",
            "telephone_number": "850-228-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "252-737-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIC",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "35529",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9684",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "HAD52",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.