Active NPI
Deborah Bennett
- Specialist
- Dickinson, TX
National Provider Identifier
1821416017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 102495
- Practice address
- 104 Sandstone Bend LN
Dickinson, TX 77539-4445 - Phone
- (409) 771-3622
- NPI assigned
- Apr 3, 2014
- Last updated
- Apr 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 102495 | TX | Primary |
Addresses
Primary practice location
104 Sandstone Bend LN
Dickinson, TX 77539-4445
Mailing address
104 Sandstone Bend LN
Dickinson, TX 77539-4445
Phone (409) 771-3622
Other names 1
- Deborah Bennett
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102495 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1821416017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SANDSTONE BEND LN",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775394445",
"telephone_number": "409-771-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SANDSTONE BEND LN",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775394445",
"telephone_number": "409-771-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "102495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BENNETT",
"credential": "OTR",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Dickinson, TX
- Bay Colony Chiropractic
- Bay Colony MRI & Diagnsotic Center, LP
- Bay Colony P.a.
- Dorace Lisa Bedard, N.P.
- Balbino Beltre II, D.D.S.
- Taryone Elaine Bernstine, FNP
- Jenna Katherine Betcher, RD
- Bio-Medical Applications of Texas, Inc. (FMC Dialysis Services of Dickinson)
- Roberto Sergio Bisonni, M.D.
- Sarah Jean Blanchfield, PHARM. D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.