Active NPI
Lamar Medical Assoc PC
- Family Medicine Physician
- Lamar, CO
National Provider Identifier
1386796381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR22392
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01223924 | Medicaid | CO | |
| LA08601 | Other | CO | ANTHEM BLUE CROSS |
Other names 1
- Donald Benton MD
National Provider Directory
National Provider DirectoryLocations
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.