Individual provider Active NPI

Porfirio Ben Sanchez, D.D.S.

  • Dentist
  • Denver, CO
National Provider Identifier
1144322793
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
106333 Issued in CO
Practice address
1601 S Federal Blvd
Suite 201
Denver, CO 80219-4872
Phone
(303) 934-0232
Fax
(303) 934-2208
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106333 CO Primary

Addresses

Primary practice location

1601 S Federal Blvd
Suite 201
Denver, CO 80219-4872

Mailing address

2345 S Federal Blvd
Ste 165
Denver, CO 80219-5473
Phone (303) 934-0232

Other identifiers 1

IdentifierTypeStateIssuer
02063337MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307000663 CO Order and Referring Only - DentistPractitioner - Dentist 9436455128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106333COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Federal Dental GP PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1144322793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 S FEDERAL BLVD",
            "address_2": "STE 165",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802195473",
            "telephone_number": "303-934-0232",
            "fax_number": "303-934-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S FEDERAL BLVD",
            "address_2": "SUITE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802194872",
            "telephone_number": "303-934-0232",
            "fax_number": "303-934-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "PORFIRIO",
        "middle_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "106333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02063337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.