Active NPI
Kimberly Ann Benson, DDS
- Endodontics
- Virginia Beach, VA
National Provider Identifier
1881034023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 2013018619
- Practice address
- 2105 Princess Anne Road
Suite 108
Virginia Beach, VA 23456 - Phone
- (757) 301-3945
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 60988 | KS | |
| Endodontics | 1223E0200X | 2013018619 | MO | Primary |
Addresses
Primary practice location
2105 Princess Anne Road
Suite 108
Virginia Beach, VA 23456
Mailing address
2105 Princess Anne Road
Suite 108
Virginia Beach, VA 23456
Phone (757) 301-3945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201074540B | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401414818 | VA | MD | Dentist |
| 60988 | KS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1881034023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 PRINCESS ANNE ROAD",
"address_2": "SUITE 108",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23456",
"telephone_number": "757-301-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 PRINCESS ANNE ROAD",
"address_2": "SUITE 108",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23456",
"telephone_number": "757-301-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "60988",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MO",
"license": "2013018619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201074540B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.