Active NPI
Benton Franklin Dial, RPRS
- Peer Specialist
- Richmond, VA
National Provider Identifier
1962378117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 0735001400
- Practice address
- 734 Luton LN
Richmond, VA 23225-4246 - Phone
- (804) 397-2478
- NPI assigned
- Oct 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 0735001400 | VA | Primary |
Addresses
Primary practice location
734 Luton LN
Richmond, VA 23225-4246
Mailing address
734 Luton LN
Richmond, VA 23225-4246
Phone (804) 397-2478
Other practice location 1
2623 Park Ave
Petersburg, VA 23805-2420
Phone (804) 471-4711 ext. 104
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 |
|---|---|---|---|
| 0735001400 | VA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1962378117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 LUTON LN",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254246",
"telephone_number": "804-397-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "734 LUTON LN",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254246",
"telephone_number": "804-397-2478"
}
],
"practiceLocations": [
{
"address_1": "2623 Park Ave",
"address_purpose": "LOCATION",
"city": "Petersburg",
"state": "VA",
"postal_code": "238052420",
"country_code": "US",
"telephone_number": "804-471-4711 x104",
"fax_number": "804-793-9195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAL",
"first_name": "BENTON",
"middle_name": "FRANKLIN",
"credential": "RPRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "VA",
"license": "0735001400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.