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Dr. Benjamin Jarvis Passey , DDS

Dentist - General Practice β€’ Placerville, CA

Active NPI 1124958798 Individual Practitioner Male Practitioner
Practice location in NPPES

4212 Missouri Flat Rd
Placerville, CA 956676269

Call 5306217700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4212 Missouri Flat Rd

Placerville, CA 956676269

Telephone 5306217700
Fax 5306217713
Organization at the Same NPPES Address or Phone
El Dorado County Community Health Center Facility NPI 1316050107

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Placerville and California

19 active clinicians are listed under Dentist - General Practice with a practice address in Placerville, CA (17,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Placerville

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA 112964

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Joe Alfeghaly

Internal Medicine

NPI 1548831027
Reyhan Anbarghalami , FNP

Nurse Practitioner - Family

NPI 1871812610

Family Nurse Practitioner

Gina Anderson

Nurse Practitioner - Family

NPI 1689126278
Diane Bass , FNP

General Practice

NPI 1669687646

Family Nurse Practitioner

Dr. Jennifer Boni , MD

Obstetrics & Gynecology

NPI 1558570911

Doctor of Medicine (M.D.)

Adria Bossard , FNP

Nurse Practitioner - Family

NPI 1588106371

Family Nurse Practitioner

Career & Practice History

NPI enumerated May 22, 2026.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2026 to August 2026.

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NPI Administrative Meta

NPI Number: 1124958798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2026
Last Update: June 01, 2026
Sole Proprietor: No

Other Dentist - General Practices in Placerville

All Dentist - General Practices in Placerville

Mailing Address

13325 S Ensign Point Ln Apt 6204

Draper, UT 840208002

Phone: 2088038613

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.