Active NPI
Joshua Leroy Bennett, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1972028207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 33239
- Practice address
- 1400 N Westmoreland Rd
Dallas, TX 75211-1656 - Phone
- (214) 266-0500
- NPI assigned
- Aug 8, 2017
- 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 | 33239 | TX | Primary |
Addresses
Primary practice location
1400 N Westmoreland Rd
Dallas, TX 75211-1656
Mailing address
2722 Spartacus Dr
Grand Prairie, TX 75052-7005
Phone (682) 561-9775
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 |
|---|---|---|---|
| 33239 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1972028207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2722 SPARTACUS DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527005",
"telephone_number": "682-561-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N WESTMORELAND RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752111656",
"telephone_number": "214-266-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JOSHUA",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.