Benjamin Koren, D.D.S.. P.a,

Primary specialty

DentistTaxonomy code 122300000X

License

6997 Issued in NC

Legal business name

BENJAMIN KOREN, D.D.S.. P.A,

Practice address

910 S Brightleaf Blvd
Smithfield, NC 27577-4388

Phone

(919) 934-1333

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Victor Koren, DDS

Title

Owner

Phone

(919) 528-4004

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smithfield Family Dentistry Doing business as

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932145455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774388",
            "telephone_number": "919-934-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774388",
            "telephone_number": "919-934-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN KOREN, D.D.S.. P.A,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOREN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-528-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "018AC",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015K9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithfield Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beachside in Home Service
• Beachside Transportation Service
• Andrew L Bechaud, OTR/L, MS
• Karen D Bell, PT
• Carlos Fernando Bendfeldt, M.D.
• Yuliya Benn, FNP-C
• Kristen Ann Benninger, M.D.
• Stephanie Michelle Benson
• Caroline Bernthal, CPNP
• Bestpractices of North Carolina PC

• Dentist in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.