Active NPI
Benjamin Huber, DDS
- General Practice Dentistry
- Fargo, ND
National Provider Identifier
1962071902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2434
- Practice address
- 3011 25TH St S
Fargo, ND 58103-6162 - Phone
- (701) 280-0088
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- 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 | 2434 | ND | Primary |
Addresses
Primary practice location
3011 25TH St S
Fargo, ND 58103-6162
Mailing address
2766 41St St S Apt 316
Fargo, ND 58104-9095
Other practice location 1
1918 9th St E
West Fargo, ND 58078-8004
Phone (701) 282-5930
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drben@smilecareteam.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2434 | ND | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Nygard | Past | Accepting new patients |
Interoperability endpoints
- drben@smilecareteam.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1962071902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 41ST ST S APT 316",
"city": "FARGO",
"state": "ND",
"postal_code": "581049095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036162",
"telephone_number": "701-280-0088"
}
],
"practiceLocations": [
{
"address_1": "1918 9th St E",
"address_purpose": "LOCATION",
"city": "West Fargo",
"state": "ND",
"postal_code": "580788004",
"country_code": "US",
"telephone_number": "701-282-5930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBER",
"first_name": "BENJAMIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "2434",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drben@smilecareteam.com",
"affiliation": "N",
"address_1": "3011 25th St S",
"city": "Fargo",
"state": "ND",
"country_code": "US",
"postal_code": "581036162",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.