Benjamin Crockett, DMD

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

51203 Issued in NC

Practice address

385 S Columbia St
Chapel Hill, NC 27599-0001

Phone

(919) 537-3737

NPI assigned

Jul 13, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Adams School of Dentistry

  • Dental Clinic/Center
  • Chapel Hill, NC
  • NPI 1972349710
  NPD (past)
• Unc School of Dentistry

  • Dentist
  • Chapel Hill, NC
  • NPI 1255783197
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1821574708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 S NEPAL WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800155567",
            "telephone_number": "949-322-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-537-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NC",
            "license": "51203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginny Diana Crisp, PHARMD
• Naama Crisp
• Christian Ian Cristobal, MT
• Justin Crocker
• Mary Elizabeth Crocker, MD
• Madeleine Crockett, PH.D.
• Stephen Alexander Crockett, MD
• Daniel James Crona, PHARM.D., PH.D.
• Lana N Crona, PHARMD
• Tamina Brown Crook, COTA/L

• Dentist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.