Christian Bennion, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D4982 Issued in ID

Practice address

5213 W Overland Rd
Boise, ID 83705-2637

Phone

(208) 345-2325

Fax

(915) 742-7462

NPI assigned

Aug 8, 2015

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ryan Speirs, DMD, PA

  dba Horizon Dental

  • Dentist
  • Boise, ID
  • NPI 1316292063
  NPD (past)

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1962888305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-345-2325",
            "fax_number": "915-742-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052637",
            "telephone_number": "208-345-2325",
            "fax_number": "915-742-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2947 E Magic View Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836423562",
            "country_code": "US",
            "telephone_number": "089-171-9342",
            "fax_number": "208-391-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNION",
        "first_name": "CHRISTIAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-08",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D4982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Rachelle Bennett, RN
• Robert Todd Bennett, PH.D.
• Sharon Bennett, MSN, SPRN, FNP-C
• Zachary Mark Bennett, BC-HIS
• Beverly Paige Bennion
• Corryn N Bennion
• Peggie Ann Bensch, MD
• Brooke Benson, PHARMD
• Bryce Benson
• Zachary Ernest Benson, M.D.

• Dentist in Boise, ID
• Providers in Boise, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.