IndividualActive
Derek Bennetsen, DO
NPI 1720011232 · Emergency Medicine Physician · Dallas, TX
Provider details
- NPI number
- 1720011232
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- M2257 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
12221 Merit Dr
Suite 1610
Dallas, TX 75251-2202
Phone: (214) 217-1911
Street-level locationGet directions
Mailing address
12221 Merit Dr
Dallas, TX 75251-2202
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2008-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.