Individual provider Active NPI

Judith Kiss-Benke, D.D.S.

  • General Practice Dentistry
  • Parma, OH
National Provider Identifier
1891912572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20492 Issued in OH
Practice address
5998 State Rd
Parma, OH 44134-2867
Phone
(440) 884-0640
Fax
(440) 884-4393
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20492 OH Primary

Addresses

Primary practice location

5998 State Rd
Parma, OH 44134-2867

Mailing address

5998 State Rd
Parma, OH 44134-2867
Phone (440) 884-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20160707002357 OH Order and Referring Only - DentistPractitioner - Dentist 0143512301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891912572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5998 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342867",
            "telephone_number": "440-884-0640",
            "fax_number": "440-884-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441342867",
            "telephone_number": "440-884-0640",
            "fax_number": "440-884-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISS-BENKE",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.