NPIMap

Organization Active NPI

Benage Dental PLLC

  • Dentist
  • Ballinger, TX
National Provider Identifier
1831546712
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27973 Issued in TX
Legal business name
BENAGE DENTAL PLLC
Practice address
604 Avenue B
Ballinger, TX 76821-2400
Phone
(325) 365-2583
Fax
(325) 365-9222
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Annemarie Johnson Benage, DDS
Title
President
Phone
(817) 526-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27973 TX Primary

Addresses

Primary practice location

604 Avenue B
Ballinger, TX 76821-2400

Mailing address

604 Avenue B
Ballinger, TX 76821-2400
Phone (325) 365-2583

National Provider Directory

National Provider Directory

Locations

604 Avenue B
Ballinger, TX 76821
Phone (325) 365-2583

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1831546712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 AVENUE B",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768212400",
            "telephone_number": "325-365-2583",
            "fax_number": "325-365-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 AVENUE B",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768212400",
            "telephone_number": "325-365-2583",
            "fax_number": "325-365-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENAGE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "BENAGE",
        "authorized_official_first_name": "ANNEMARIE",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-526-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballinger, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.