Matthew R Bentley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

23280 Issued in TX

Practice address

2517 8TH Ave
Fort Worth, TX 76110-2538

Phone

(817) 923-9877

Fax

(817) 923-9854

NPI assigned

Aug 28, 2007

Last updated

Feb 7, 2017By 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 TX

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew R Bentley DMD PC

  • Customized Equipment (DME)
  • Fort Worth, TX
  • NPI 1851832836
  NPD (past) Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1902090582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102538",
            "telephone_number": "817-923-9877",
            "fax_number": "817-923-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102538",
            "telephone_number": "817-923-9877",
            "fax_number": "817-923-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlett Benson, LVN
• CHI Nguyen Benson, MD
• Kelsey Benson, FNP
• Meagan Victoria Benson, DO
• Evert Randall Bentley, DO
• Austin Ford Benton, PA-C
• Joshua Benton, DPT
• Shirley A Benton, LPC LMFT LCDC
• Bentz Physical Therapy, PC (Bentz Physical Therapy)
• Bret Bentz, PHD

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.