Robert Beneshan, D.D.S. a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20815 Issued in CA

Legal business name

ROBERT BENESHAN, D.D.S. A PROFESSIONAL DENTAL CORPORATION

Practice address

24 Alexander St
Watsonville, CA 95076-4609

Phone

(831) 724-6337

Fax

(831) 763-0616

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert M Beneshan, DDS

Title

President

Phone

(831) 724-6337

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1932471117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ALEXANDER ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764609",
            "telephone_number": "831-724-6337",
            "fax_number": "831-763-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ALEXANDER ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764609",
            "telephone_number": "831-724-6337",
            "fax_number": "831-763-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BENESHAN, D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "BENESHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-724-6337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B20815-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guillermina Rivera Espinoza
• Esmeralda Rivera Luna
• Margarita Rivera-Swank, MFC
• Vanessa Rizo
• Joseph Wallace Robb III, D.D.S.
• Robert J Weber
• Pablo Robles-Yepez
• Sarahi Rocha Adan
• Adrian Rocha Rocha, RADT
• Oscar Rocha-Fernandez

• General Practice Dentistry in Watsonville, CA
• Providers in Watsonville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.