IndividualActive
Jack Elder, DDS
NPI 1164509832 · Dentist · Benicia, CA
Jack Elder, DDS is a Dentist provider in Benicia, CA (NPI 1164509832).
Provider details
- NPI number
- 1164509832
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 55157 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
172 East D Street
Benicia, CA 94510
Phone: (707) 745-3820
Fax: (707) 746-5196
Street-level locationGet directions
Mailing address
172 East D Street
Benicia, CA 94510-0954
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2009-06-03
Frequently asked questions
- What is Jack Elder's NPI number?
- Jack Elder's National Provider Identifier (NPI) is 1164509832, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Elder's specialty?
- Jack Elder is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jack Elder located?
- Jack Elder's practice location on file with NPPES is 172 East D Street, Benicia, CA 94510.
- What is Jack Elder's phone number?
- The practice phone number listed in the NPPES registry for Jack Elder is (707) 745-3820.
- Is Jack Elder's NPI active?
- Yes — Jack Elder's NPI (1164509832) is active in the NPPES registry as of the last update on 2009-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.