Mitchell Bruce Benson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33729 Issued in NY

Practice address

1 Prospect Park SW
1B
Brooklyn, NY 11215-5961

Phone

(718) 768-1666

Fax

(718) 965-2266

NPI assigned

Sep 9, 2008

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

Medicare fee-for-service enrollment

Enrolled in NY

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1821247313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PROSPECT PARK SW",
            "address_2": "1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155961",
            "telephone_number": "718-768-1666",
            "fax_number": "718-965-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROSPECT PARK SW",
            "address_2": "1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155961",
            "telephone_number": "718-768-1666",
            "fax_number": "718-965-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "MITCHELL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "33729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benson Medical Supply, Inc.
• Daniel Benson, D.C.
• Inga Benson, LCAT
• Kimberly Benson
• Lynn Nkechinyere Benson, MD
• Tatyana Benson
• Tekla Mary Benson, MPS, LCAT - P
• Bensonhurst Aplus Pharmacy Inc
• Bensonhurst Dental Arts, PLLC
• Bensonhurst Dental Care

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.