DR. BENJAMIN SYNDERGAARD D.M.D., M.S.
NPI 1902119720
Dentist - Periodontics in Carson City, NV

Active since July 21, 2010Opted out of Medicare · through Jul 1, 2027
1675 VISTA LN, CARSON CITY, NV 89703(775) 882-3033 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin Syndergaard D.m.d., M.s. NPPES

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

DR. BENJAMIN SYNDERGAARD D.M.D., M.S. (NPI 1902119720) is an individual periodontics provider in Carson City, Nevada, licensed in Nevada (S4-84) and active in the NPI registry since July 2010. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902119720
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BENJAMIN SYNDERGAARDCredential: D.M.D., M.S.
Location Address1675 VISTA LNCarson City, NV 89703-4640
Mailing Address811 W Washington StCarson City, NV 89703-3746
Sole ProprietorNo
Enumeration DateJuly 21, 2010
Last NPPES UpdateSeptember 3, 2013
NPI 1902119720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in NV · S4-84
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 8859 (KY)
1675 VISTA LN, Carson City, NV 89703

Accepted 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 Syndergaard D.m.d., M.s. 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 July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 2027Opt-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 89703 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

Other Providers at the Same Location NPPES 2

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

Dentist (Periodontics)
1675 VISTA LN
CARSON CITY, NV 89703
Dentist (Periodontics)
1675 VISTA LN
CARSON CITY, NV 89703

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 Syndergaard's NPI number?

The NPI number for Benjamin Syndergaard is 1902119720. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Benjamin Syndergaard located?

Benjamin Syndergaard practices at 1675 Vista Ln, Carson City, NV 89703. The listed phone number is (775) 882-3033.

What is Benjamin Syndergaard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Benjamin Syndergaard enrolled in Medicare?

No. Benjamin Syndergaard has opted out of Medicare through July 1, 2027. 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 Syndergaard accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Benjamin Syndergaard 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 Syndergaard was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.