Individual provider Active NPI

Kirsten Liesl West-Bennett, 8172

  • General Practice Dentistry
  • Westminster, CO
National Provider Identifier
1356569909
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8172 Issued in CO
Practice address
5130 W. 80TH Ave. Suite 202
Westminster, CO 80030
Phone
(303) 429-3549
Fax
(303) 427-9519
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8172 CO Primary

Addresses

Primary practice location

5130 W. 80TH Ave. Suite 202
Westminster, CO 80030

Mailing address

4194 W. 99TH CT.
Westminster, CO 80031
Phone (303) 657-3303

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

LicenseStateTypeSpecialty
8172COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Dental Group General Practice 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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356569909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 W. 99TH CT.",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "303-657-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 W. 80TH AVE. SUITE 202",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80030",
            "telephone_number": "303-429-3549",
            "fax_number": "303-427-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-BENNETT",
        "first_name": "KIRSTEN",
        "middle_name": "LIESL",
        "credential": "8172",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.