Benjamin C Dickert

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BENJAMIN C DICKERT

Doing business as

Benjamin C.Dickert
Springfield Podiatry Associates

Practice address

222 Carew St Ste 101
Springfield, MA 01104-4105

Phone

(413) 736-3225

Fax

(413) 736-3382

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Benjamin C. Dickert, D.P.M.NPI 1760599815

Title

Owner

Phone

(413) 736-3225

Specialties & licenses 2

Addresses

Other identifiers 12

Other names 2

• Benjamin C.Dickert Doing business as
• SPRINGFIELD PODIATRY ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Benjamin C. Dickert

  • Primary Podiatric Medicine Podiatrist
  • Springfield, MA
  • NPI 1871048462
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin C. Dickert, DPM

  • Podiatrist
  • Springfield, MA
  • NPI 1760599815
  Medicare reassignment Care Compare group Authorized official
• Patrick Matthew Jones, DPM

  • Foot Surgery Podiatrist
  • Springfield, MA
  • NPI 1336249622
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1831388552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CAREW ST STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044105",
            "telephone_number": "413-736-3225",
            "fax_number": "413-736-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CAREW ST STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011044105",
            "telephone_number": "413-736-3225",
            "fax_number": "413-736-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN C DICKERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "DICKERT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-736-3225",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "PD1884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "Y77346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "0002099",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362662",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y70887",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "000000028039",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "333305",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "Y71046",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC",
            "identifier": "00000006878",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "7390036",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310832",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "33901",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6332349",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benjamin C.Dickert",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benjamin C.Dickert",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPRINGFIELD PODIATRY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatiana V Bendioukova, MD
• Beneath the Healing LLC
• Amie Benedict
• Janet A Beneitone, R.N.
• Tracy J Benerakis, RN
• Benjamin C. Dickert
• Evan M Benjamin, MD
• Nicole L Benjamin, RN
• Erita Bennett
• Linda Diane Bennett

• Podiatrist in Springfield, MA
• Providers in Springfield, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.