DR. BENJAMIN PAUL ARCHER D.D.S., FACS
NPI 1215377072
Dentist in Fort Worth, TX

Q: What is Benjamin Archer's NPI number?

The NPI number for Benjamin Archer is 1215377072. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Q: What is Benjamin Archer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Benjamin Archer enrolled in Medicare?

No. Benjamin Archer has opted out of Medicare through November 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Archer was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 26, 2013Opted out of Medicare · through Nov 6, 2026

900 JEROME ST STE 140, FORT WORTH, TX 76104(817) 522-1833(817) 769-6209 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2026, Nov 29, 2022, Jul 7, 2022 (3 updates tracked since 2022).

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About Dr. Benjamin Paul Archer D.d.s., Facs NPPES

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

DR. BENJAMIN PAUL ARCHER D.D.S., FACS (NPI 1215377072) is an individual dentist in Fort Worth, Texas, licensed in Texas (29026) and active in the NPI registry since June 2013. He has opted out of Medicare through November 6, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215377072

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. BENJAMIN PAUL ARCHERCredential: D.D.S., FACS

Location Address900 JEROME ST STE 140Fort Worth, TX 76104-3939

Mailing Address900 Jerome St Ste 140Fort Worth, TX 76104-3939 · (817) 522-1833 · Fax (817) 769-6209

Phone(817) 522-1833

Fax(817) 769-6209

Sole ProprietorYes

Enumeration DateJune 26, 2013

Last NPPES UpdateApril 10, 20263 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1215377072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 29026

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 0401415977 (VA)

900 JEROME ST STE 140, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Benjamin Paul Archer D.d.s., Facs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2018 through November 6, 2026.

Opt-Out Effective DateNovember 6, 2018

Opt-Out In Effect ThroughNovember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Archer's NPI number?

The NPI number for Benjamin Archer is 1215377072. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Benjamin Archer located?

Benjamin Archer practices at 900 Jerome St Ste 140, Fort Worth, TX 76104. The listed phone number is (817) 522-1833.

What is Benjamin Archer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Benjamin Archer enrolled in Medicare?

No. Benjamin Archer has opted out of Medicare through November 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Benjamin Archer accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Benjamin Archer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Archer was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.