Individual provider Active NPI

Benjamin Spencer Horton, DDS

  • Dentist
  • Cedar Rapids, IA
National Provider Identifier
1811285695
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08824 Issued in IA
Practice address
4141 Glass Rd NE
Cedar Rapids, IA 52402-2512
Phone
(319) 393-0773
NPI assigned
Jul 14, 2011
Last updated
Jul 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08824 IA Primary

Addresses

Primary practice location

4141 Glass Rd NE
Cedar Rapids, IA 52402-2512

Mailing address

4141 Glass Rd NE
Cedar Rapids, IA 52402-2512
Phone (319) 393-0773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20160412001592 IA Order and Referring Only - DentistPractitioner - Dentist 1052619889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Horton & Jacobson PLLC Current Accepting new patients

Locations

4141 Glass Rd NE
Cedar Rapids, IA 52402
Phone (319) 362-7931

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, 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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1811285695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022512",
            "telephone_number": "319-393-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 GLASS RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022512",
            "telephone_number": "319-393-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "BENJAMIN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.