NPIMap

Organization Active NPI

Richard L Bennett DDS PA

  • Dentist
  • Emporia, KS
National Provider Identifier
1962443663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6600 Issued in KS
Legal business name
RICHARD L BENNETT DDS PA
Practice address
909 Commercial St
Emporia, KS 66801
Phone
(620) 343-9220
Fax
(620) 343-9221
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard L Bennett, DDSNPI 1033153945
Title
Dentist
Phone
(620) 343-9220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4308 KS
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6600 KS Primary

Addresses

Primary practice location

909 Commercial St
Emporia, KS 66801

Mailing address

909 Commercial St
Emporia, KS 66801
Phone (620) 343-9220

Other identifiers 2

IdentifierTypeStateIssuer
05920OtherKSBLUE CROSS BLUE SHIELD
19201OtherKSBLUE CROSS BLUE SHIELD

Other names 1

  • Drs Bennett & Bennett Other name

National Provider Directory

National Provider Directory

Locations

909 Commercial St
Emporia, KS 66801
Phone (620) 343-9220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962443663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 COMMERCIAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-343-9220",
            "fax_number": "620-343-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 COMMERCIAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-343-9220",
            "fax_number": "620-343-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L BENNETT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "620-343-9220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "4308",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "6600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05920",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19201",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Bennett & Bennett",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.