NPIMap

Organization Active NPI

Anthony F Benassi DDS LLC

  • General Practice Dentistry
  • Rockford, IL
National Provider Identifier
1891237285
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19023203 Issued in IL
Legal business name
ANTHONY F BENASSI DDS LLC
Practice address
735 N Perryville Rd
Suite 2
Rockford, IL 61107-6236
Phone
(815) 397-2752
Fax
(815) 397-2759
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Dr. Anthony F Benassi, DDS
Title
Dentist/Owner
Phone
(815) 397-2752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19023203 IL Primary

Addresses

Primary practice location

735 N Perryville Rd
Suite 2
Rockford, IL 61107-6236

Mailing address

735 N Perryville Rd
Suite 2
Rockford, IL 61107-6236
Phone (815) 397-2752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1891237285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N PERRYVILLE RD",
            "address_2": "SUITE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076236",
            "telephone_number": "815-397-2752",
            "fax_number": "815-397-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N PERRYVILLE RD",
            "address_2": "SUITE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076236",
            "telephone_number": "815-397-2752",
            "fax_number": "815-397-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY F BENASSI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "BENASSI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "815-397-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19023203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.