Trevor Timothy Bennett, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

101028 Issued in CA

Practice address

2500 E Imperial Hwy Ste 120
Brea, CA 92821-6116

Phone

(714) 784-5162

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

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 CA

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1881139103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 VIA DEL COYOTE",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E IMPERIAL HWY STE 120",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216116",
            "telephone_number": "714-784-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "TREVOR",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Becerra, LCSW
• Rocio Bedoy
• Jonathan Bruce Bell
• Beneficial Home Health Services Inc.
• Jennifer Bennett
• Elizabeth Bernal, LMFT
• Emily Berry
• Best Hand Hospice, Inc.
• Beta Caring Hands Hospice Inc
• Brianna Betschel, COTA

• Dentist in Brea, CA
• Providers in Brea, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.