Individual provider Active NPI

Josef A Benzon, D.M.D.

  • General Practice Dentistry
  • West Valley City, UT
National Provider Identifier
1821229261
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7398108-0022 Issued in UT
Practice address
6608 Kings Estate Dr
West Valley City, UT 84128-4225
Phone
(801) 518-9254
NPI assigned
Aug 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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 7398108-0022 UT Primary

Addresses

Primary practice location

6608 Kings Estate Dr
West Valley City, UT 84128-4225

Mailing address

6608 Kings Estate Dr
West Valley City, UT 84128-4225
Phone (801) 518-9254

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
7398108-0022UTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1821229261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 KINGS ESTATE DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841284225",
            "telephone_number": "801-518-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 KINGS ESTATE DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841284225",
            "telephone_number": "801-518-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENZON",
        "first_name": "JOSEF",
        "middle_name": "A",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "7398108-0022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.