NPI age
5 years
Enumerated 2021-02-10
● Active
Type 1 · Individual
DR. Tamar Bennetsen, DO
Bennetsen is 1 of 1 general practice providers in Northlake and 1 of 2087 in Texas.
Primary specialty
General Practice
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2087 active general practice providers in Texas.
NPI age
5 years
↓ 5 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Practice location
3010 Stardust Ln
Northlake, TX 762261763
Mailing address
3010 Stardust Ln
Northlake, TX 762261763
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.