Benjamin S Ber, D.D.S. ,M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5386 Issued in LA

Practice address

761 West Tunnel Boulevard
E
Houma, LA 70360

Phone

(985) 917-0084

Fax

(985) 917-0086

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 LA

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952442733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 W TUNNEL BLVD",
            "address_2": "SUITE E",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605545",
            "telephone_number": "985-917-0084",
            "fax_number": "985-917-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 WEST TUNNEL BOULEVARD",
            "address_2": "E",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-917-0084",
            "fax_number": "985-917-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BER",
        "first_name": "BENJAMIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S. ,M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "5386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Joseph Benoit, D.D.S., M.S.D
• Brian J Benoit, DDS
• Carol Teuton Benoit, LPC
• Michelle Benoit, RDN, LDN
• Carisa Thelma Benson, CD, PCD, CBC
• Leslie Chauvin Ber, M.D.
• Andrew Joseph Bergeron, DO
• Belinda L Bergeron, LPC
• Brandon Bergeron, LPC
• Clarence Bergeron, PH.D. PSYCHOLOGY

• Endodontics in Houma, LA
• Providers in Houma, LA by specialty
• Endodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.