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1659298990 NPI number — URIAN MARTIN BENICKER PRS, BHPP

NPI Number: 1659298990
Health Care Provider/Practitioner: URIAN MARTIN BENICKER PRS, BHPP

Information about “1659298990” NPI (URIAN MARTIN BENICKER PRS, BHPP) exists in 1659298990 in HTML format HTML  |  1659298990 in plain Text format TXT  |  1659298990 in PDF (Portable Document Format) PDF  |  1659298990 in an XML format XML  formats.

NPI Number : 1659298990 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659298990",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BENICKER",
    "FirstName": "URIAN",
    "MiddleName": "MARTIN",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PRS, BHPP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BENICKER",
    "OtherFirstName": "BENNY",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PRS, BHPP",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "11470 COUNTY ROAD 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHESAPEAKE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45619-7010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "740-451-7472",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11470 COUNTY ROAD 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESAPEAKE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "45619-7010",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "740-451-7472",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2026",
    "LastUpdateDate": "07/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175T00000X",
          "TaxonomyName": "Peer Specialist",
          "LicenseNumber": "PRS.007881",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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