Individual provider Active NPI

Christopher Henes, D.D.S

  • Dentist
  • Denver, CO
National Provider Identifier
1255778205
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202211 Issued in CO
Practice address
12510 E Iliff Ave Ste 305
Denver, CO 80014-5379
Phone
(303) 695-0102
NPI assigned
May 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202211 CO Primary
Dentist 122300000X 2901020977 MI

Addresses

Primary practice location

12510 E Iliff Ave Ste 305
Denver, CO 80014-5379

Mailing address

12510 E Iliff Ave Ste 305
Denver, CO 80014-5379
Phone (303) 695-0102

Other practice location 1

1100 Federal Blvd
Denver, CO 80204-3219
Phone (303) 436-4345

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
I20140910000192 CO Practitioner - Oral Surgery 9133348956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202211COMDDentist
2901020977MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jun 26, 2014 Accepting new patients
Chrisopher Henes DDS, PLLC Current Accepting new patients
Christopher Henes 2 DDS, PLLC CurrentSince May 16, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jun 26, 2014 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Axiom Dental Group P.C. Past Accepting new patients

Locations

1100 Federal Blvd
Denver, CO 80204
Phone (303) 436-4200

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Ste MC3450
Denver, CO 80204

777 Bannock St
Denver, CO 80204

12510 E Iliff Ave
Ste 305
Denver, CO 80014
Phone (303) 695-0102

9570 S Kingston Ct
Ste 230
Englewood, CO 80112
Phone (303) 649-2273

Organizations & group practices 6

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1255778205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE STE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800145379",
            "telephone_number": "303-695-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 E ILIFF AVE STE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "800145379",
            "telephone_number": "303-695-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Federal Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802043219",
            "country_code": "US",
            "telephone_number": "303-436-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENES",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202211",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.