Randal Maxwell Benefield, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5695 Issued in NC

Practice address

7718 Six Forks Rd
Suite 110
Raleigh, NC 27615-5071

Phone

(919) 676-4749

Fax

(919) 676-6635

NPI assigned

Oct 24, 2006

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

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851474548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 SIX FORKS RD",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155071",
            "telephone_number": "919-676-4749",
            "fax_number": "919-676-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7718 SIX FORKS RD",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155071",
            "telephone_number": "919-676-4749",
            "fax_number": "919-676-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEFIELD",
        "first_name": "RANDAL",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Jerome Bender
• Amy Celeste Bendis, CRNA
• Allison Benedict
• Elisabeth Marie Benedict, NP
• Frederick E Benedict, MD
• William Thomas Benesky Jr., PA-C
• Colby Mangun Benevides, MD
• Mary Bengtson, MD
• Benjamin Boyles DDS PA
• Benjamin Tosky, D.C., P.a.

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.