BENJAMIN JARVIS PASSEY DDS
NPI 1124958798
Dentist - General Practice in Placerville, CA

Active since May 22, 2026
4212 MISSOURI FLAT RD, PLACERVILLE, CA 95667(530) 621-7700(530) 621-7713 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, May 22, 2026 (2 updates tracked since 2026).

About Benjamin Jarvis Passey Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN JARVIS PASSEY DDS (NPI 1124958798) is an individual general practice provider in Placerville, California, licensed in California (112964) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1124958798
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBENJAMIN JARVIS PASSEYCredential: DDS
Location Address4212 MISSOURI FLAT RDPlacerville, CA 95667-6269
Mailing Address13325 S Ensign Point Ln Apt 6204Draper, UT 84020-8002 · (208) 803-8613
Fax(530) 621-7713
Sole ProprietorNo
Enumeration DateMay 22, 2026
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1124958798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 112964
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4212 MISSOURI FLAT RD, Placerville, CA 95667

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Nurse Practitioner (Family)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Dentist (General Practice)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Optometrist
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Clinic/Center (Primary Care)
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Family Medicine
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Registered Nurse
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667
Pharmacist
4212 MISSOURI FLAT RD
PLACERVILLE, CA 95667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Passey's NPI number?

The NPI number for Benjamin Passey is 1124958798. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Benjamin Passey located?

Benjamin Passey practices at 4212 Missouri Flat Rd, Placerville, CA 95667. The listed phone number is (530) 621-7700.

What is Benjamin Passey's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Benjamin Passey was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.