NPIMap

Organization Active NPI

Bruce P. Benifiel, D.D.S., P.C.

Doing business as Benifiel Dentistry

  • General Practice Dentistry
  • Granger, IN
National Provider Identifier
1992898241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008886 Issued in IN
Legal business name
BRUCE P. BENIFIEL, D.D.S., P.C.
Doing business as
Benifiel Dentistry
Practice address
925 E University Dr
Granger, IN 46530-4465
Phone
(574) 277-7733
Fax
(574) 277-8436
NPI assigned
Oct 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Bruce Philip Benifiel, D.D.S.NPI 1720171077
Title
President
Phone
(574) 277-7733

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008886 IN Primary

Addresses

Primary practice location

925 E University Dr
Granger, IN 46530-4465

Mailing address

925 E University Dr
Granger, IN 46530-4465
Phone (574) 277-7733

Other names 1

  • Benifiel Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

925 E University Dr
Granger, IN 46530
Phone (574) 277-7733

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992898241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E UNIVERSITY DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304465",
            "telephone_number": "574-277-7733",
            "fax_number": "574-277-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E UNIVERSITY DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304465",
            "telephone_number": "574-277-7733",
            "fax_number": "574-277-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE P. BENIFIEL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENIFIEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-277-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benifiel Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granger, IN

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.