Benjamin Whitted, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6468 Issued in NV

Practice address

1400 Fountain Way
Molalla, OR 97038-8874

Phone

(503) 759-3333

Fax

(503) 759-3291

NPI assigned

Aug 14, 2014

Last updated

Nov 14, 2019By 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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Ben Whitted, DDS, LLC

  dba NW Dental

  • Dental Clinic/Center
  • Clackamas, OR
  • NPI 1992475412
  NPD Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1972902054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FOUNTAIN WAY",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388874",
            "telephone_number": "503-759-3333",
            "fax_number": "503-759-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOUNTAIN WAY",
            "city": "MOLALLA",
            "state": "OR",
            "postal_code": "970388874",
            "telephone_number": "503-759-3333",
            "fax_number": "503-759-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTED",
        "first_name": "BENJAMIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Hsi-Wen Wang, DDS
• April V Wassom, PA-C
• Waterfall Counseling, LLC
• Amelie M Wegner, MD
• Austin Edward Weichlein, DMD
• Kenneth Byron Willeford, D.M.D
• Janel Irene Wimmer, LMT
• Woodside SNF Healthcare LLC (Woodside Post Acute)

• General Practice Dentistry in Molalla, OR
• Providers in Molalla, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.