Hibret Hailu Benjamin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50139 Issued in CA

Practice address

2001 Union St Ste 590
San Francisco, CA 94123-4125

Phone

(415) 409-3368

Fax

(415) 409-3370

NPI assigned

Jul 20, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 31, 2017 through Aug 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: hbenjamin249590@direct-ucsfmedicalcenter.org

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851311468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 DEL ORO LAGOON # 2",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495333",
            "telephone_number": "415-218-2483",
            "fax_number": "650-755-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 UNION ST STE 590",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941234125",
            "telephone_number": "415-409-3368",
            "fax_number": "415-409-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "HIBRET",
        "middle_name": "HAILU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Arthur Benitz, PSY.D.
• Benjamin CK Lau MD Inc
• Benjamin H. Maeck, III, M.D. Inc.
• Benjamin Kruman DDS Inc
• Benjamin N. Wan, M.D., Inc
• Ira Durante Benjamin, SUD COUNSELOR
• Rebecca Benjamin
• Stacey Benjamin
• Ariella Rachel Benji-Beyzer
• Judith Ann Benkert, CNM NP

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.