Individual provider Active NPI

Moises Benitez - Martinez, REG DENTAL HYGIENIST

  • Dental Hygienist
  • Seattle, WA
National Provider Identifier
1821890583
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH61308887 Issued in WA
Practice address
1200 12TH Ave S Ste 401
Seattle, WA 98144-2730
Phone
(206) 548-5850
NPI assigned
Mar 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH61308887 WA Primary

Addresses

Primary practice location

1200 12TH Ave S Ste 401
Seattle, WA 98144-2730

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114

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
DH61308887WAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Sep 14, 2025 Accepting new patients
Neighborcare Health CurrentSince Sep 14, 2025 Accepting new patients

Locations

1200 12th Ave S
Ste 401
Seattle, WA 98144

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1821890583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-962-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442730",
            "telephone_number": "206-548-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ - MARTINEZ",
        "first_name": "MOISES",
        "credential": "REG DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH61308887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.