Organization Active NPI

Lamar Medical Assoc PC

  • Family Medicine Physician
  • Lamar, CO
National Provider Identifier
1386796381
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR22392 Issued in CO
Legal business name
LAMAR MEDICAL ASSOC PC
Practice address
200 Kendall Dr Ste 3
Lamar, CO 81052-3940
Phone
(719) 336-9068
Fax
(719) 336-3202
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Donald Francis Benton, M.D.
Title
Physician
Phone
(719) 336-9068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DR22392 CO Primary

Addresses

Primary practice location

200 Kendall Dr Ste 3
Lamar, CO 81052-3940

Mailing address

200 Kendall Dr Ste 3
Lamar, CO 81052-3940
Phone (719) 336-9068

Other identifiers 2

IdentifierTypeStateIssuer
01223924MedicaidCO
LA08601OtherCOANTHEM BLUE CROSS

Other names 1

  • Donald Benton MD Other name

National Provider Directory

National Provider Directory

Locations

200 Kendall Dr
Ste 3
Lamar, CO 81052
Phone (719) 336-9068

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1386796381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KENDALL DR STE 3",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523940",
            "telephone_number": "719-336-9068",
            "fax_number": "719-336-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KENDALL DR STE 3",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523940",
            "telephone_number": "719-336-9068",
            "fax_number": "719-336-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR MEDICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "719-336-9068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR22392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01223924",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "LA08601",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donald Benton MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lamar, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.