Jonathan Simon Bensoussan, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

010920 Issued in AZ

Practice address

3443 N Central Ave Ste 700
Phoenix, AZ 85012-2208

Phone

(602) 242-2256

NPI assigned

Jan 12, 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

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1831607845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 N CENTRAL AVE STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122208",
            "telephone_number": "602-242-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 N CENTRAL AVE STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122208",
            "telephone_number": "602-242-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13360 N 94th Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814837",
            "country_code": "US",
            "telephone_number": "623-972-7559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSOUSSAN",
        "first_name": "JONATHAN",
        "middle_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "AZ",
            "license": "010920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Eleanor Benson
• Ronise Benson
• Sharon A Benson
• Stephanie A Benson, LPN
• Vera Benson, PHARM D
• Ellie Bensted, DPT
• Elyssa D. Bent, M.D.
• Kelsey Bentien
• Douglas Benting
• Arielle Bentley, LPC

• Prosthodontics in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Prosthodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.