Individual provider Active NPI

Benjamin Wayne Dorenkamp, D.C.

  • Chiropractor
  • Grand Junction, CO
National Provider Identifier
1164519765
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3051 Issued in CO
Practice address
609 North Ave
Ste 1
Grand Junction, CO 81501-7531
Phone
(970) 242-7700
Fax
(970) 242-7711
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3051 CO Primary

Addresses

Primary practice location

609 North Ave
Ste 1
Grand Junction, CO 81501-7531

Mailing address

609 North Ave
Ste 1
Grand Junction, CO 81501-7531
Phone (970) 242-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Sport & Spine LLC Chiropractor PastSince Oct 16, 2022 Accepting new patients
Dorenkamp Chiropractic LLC Chiropractor PastSince Sep 25, 1989 Accepting new patients

Organizations & group practices 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1164519765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 NORTH AVE",
            "address_2": "STE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017531",
            "telephone_number": "970-242-7700",
            "fax_number": "970-242-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 NORTH AVE",
            "address_2": "STE 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017531",
            "telephone_number": "970-242-7700",
            "fax_number": "970-242-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORENKAMP",
        "first_name": "BENJAMIN",
        "middle_name": "WAYNE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.