Christopher Bockrath, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00204003 Issued in CO

Practice address

951 E 120TH Ave Unit D
Thornton, CO 80233-5719

Phone

(303) 305-4466

NPI assigned

Jun 2, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Modern Dental Professionals Co PC

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1427439819
  NPD (past)
• Modern Dental Professionals Co,PC

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1487925129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1356909683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 GRAND OAK TRL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454405011",
            "telephone_number": "937-204-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E 120TH AVE UNIT D",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335719",
            "telephone_number": "303-305-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKRATH",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-02",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204003",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL BOARD",
            "identifier": "30.025798",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DENTAL BOARD",
            "identifier": "00204003",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Sky Adult Day Care
• Daniel A Blumin, LSW
• Evan Christian Bo
• Brittney Bobadilla, LCSW
• Mary Irene Bobye, APRN
• Jenna Bogan, M.A.
• Paul Bogan, M.D.
• Staci Bogin, DPM
• Dallas Bogner, MD
• Bohique Counseling

• General Practice Dentistry in Thornton, CO
• Providers in Thornton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.