Active NPI
Porfirio Ben Sanchez, D.D.S.
- Dentist
- Denver, CO
National Provider Identifier
1144322793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106333
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02063337 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307000663 | CO | Order and Referring Only - Dentist | 9436455128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106333 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Denver, CO
- NPI 1386706430
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.