Active NPI
Jonathan Benefield
- General Practice Dentistry
- Green Valley, AZ
National Provider Identifier
1952735532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8790
- Practice address
- 18726 S Nogales Hwy
#100
Green Valley, AZ 85614-5878 - Phone
- (520) 625-4850
- NPI assigned
- Aug 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8790 | AZ | Primary |
Addresses
Primary practice location
18726 S Nogales Hwy
#100
Green Valley, AZ 85614-5878
Mailing address
18726 S Nogales Hwy
#100
Green Valley, AZ 85614-5878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sahuarita Modern Dentistry and Orthodontics, LLP | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Sahiarita Modern Dentistry and Orthodontics
- General Practice Dentistry
- Green Valley, AZ
- NPI 1124304472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1952735532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S NOGALES HWY",
"address_2": "#100",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S NOGALES HWY",
"address_2": "#100",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856145878",
"telephone_number": "520-625-4850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENEFIELD",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-30",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "8790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.