Active NPI
Michael W Bennett, RDH
- Dental Hygienist
- Loveland, CO
National Provider Identifier
1235304197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 905344
- Practice address
- 115 Willow Circle Dr
Loveland, CO 80537-7667 - Phone
- (970) 669-2887
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 905344 | CO | Primary |
Addresses
Primary practice location
115 Willow Circle Dr
Loveland, CO 80537-7667
Mailing address
115 Willow Circle Dr
Loveland, CO 80537-7667
Phone (970) 669-2887
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905344 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1235304197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WILLOW CIRCLE DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805377667",
"telephone_number": "970-669-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 WILLOW CIRCLE DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805377667",
"telephone_number": "970-669-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "905344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.