BENJANIN M FRANK D.D.S.
NPI 1063802221
Dentist - Prosthodontics in Danbury, CT

NPI Status: Active since January 27, 2015

Contact Information

105 A NEWTON ROAD
SUITE 4
DANBURY, CT
ZIP 06810
Phone: (203) 744-7377
Fax: (203) 744-7403

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  • Individual
  • Male
  • Dentist
  • Prosthodontics
  • PECOS Enrolled

About BENJANIN FRANK

This page provides the complete NPI Profile along with additional information for Benjanin Frank, a provider established in Danbury, Connecticut with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1063802221 assigned on January 2015. The practitioner's primary taxonomy code is 1223P0700X with license number CT5238 (CT). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1063802221
Provider Name
BENJANIN M FRANK D.D.S.
Gender
Male
Entity Type
Individual
Location Address
105 A NEWTON ROAD SUITE 4 DANBURY, CT 06810
Location Phone
(203) 744-7377
Location Fax
(203) 744-7403
Mailing Address
105 A NEWTON ROAD SUITE 4 DANBURY, CT 06810
Mailing Phone
(203) 744-7377
Mailing Fax
(203) 744-7403
Is Sole Proprietor?
Yes
Enumeration Date
01-27-2015
Last Update Date
01-27-2015
Code Navigator

A dentist like Benjanin Frank is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Prosthodontics

Taxonomy Code
1223P0700X
Type
Dental Providers
License No.
CT5238
License State
CT
Taxonomy Description
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Medicare Participation & PECOS Enrollment Status

Benjanin Frank is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06810 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.55
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $18.88
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063802221
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123160424
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 6 + 0 + 4 + 2 + 4 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1063802221 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063802221, enumerated as an "individual" on January 27, 2015.

The provider is located at 105 A NEWTON ROAD SUITE 4 DANBURY, CT 06810 and the phone number is (203) 744-7377.

Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.