GREGORY BENZ DMD
NPI 1396480216
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 04, 2022PECOS Enrolled
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-0395 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory Benz Dmd NPPES

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

GREGORY BENZ DMD (NPI 1396480216) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396480216
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGREGORY BENZCredential: DMD
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1969 W Ogden AveChicago, IL 60612-3765
Sole ProprietorNo
Enumeration DateMay 4, 2022
NPPES CertifiedApril 6, 2022
NPI 1396480216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentistTaxonomy 122300000X · License 1 (IL)
1969 W OGDEN AVE, Chicago, IL 60612

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gregory Benz Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Social Worker
1969 W OGDEN AVE
CHICAGO, IL 60612
General Acute Care Hospital
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Ophthalmology
1969 W OGDEN AVE, CLINIC A
CHICAGO, IL 60612
Social Worker
1969 W OGDEN AVE
CHICAGO, IL 60612
Social Worker
1969 W OGDEN AVE
CHICAGO, IL 60612
Physician Assistant
1969 W OGDEN AVE, EMERGENCY MEDICINE
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396480216, enumerated as an "individual" on May 04, 2022.

The provider is located at 1969 W OGDEN AVE CHICAGO, IL 60612 and the phone number is (312) 864-0395.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.