Individual provider Active NPI

Brian Malek Benyammi, D.D.S.

  • Dentist
  • Mountain View, CA
National Provider Identifier
1851743090
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100352 Issued in CA
Practice address
777 Cuesta Dr
Suite 140
Mountain View, CA 94040-3771
Phone
(650) 254-1596
Fax
(650) 254-0738
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100352 CA Primary

Addresses

Primary practice location

777 Cuesta Dr
Suite 140
Mountain View, CA 94040-3771

Mailing address

777 Cuesta Dr
Suite 140
Mountain View, CA 94040-3771
Phone (650) 254-1596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1851743090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CUESTA DR",
            "address_2": "SUITE 140",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403771",
            "telephone_number": "650-254-1596",
            "fax_number": "650-254-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CUESTA DR",
            "address_2": "SUITE 140",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403771",
            "telephone_number": "650-254-1596",
            "fax_number": "650-254-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENYAMMI",
        "first_name": "BRIAN",
        "middle_name": "MALEK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.