Organization Active NPI

Bennett Dental Group

  • General Practice Dentistry
  • Westminster, CO
National Provider Identifier
1437250552
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BENNETT DENTAL GROUP
Practice address
5130 W. 80TH Ave
Suite 202
Westminster, CO 80030-4447
Phone
(303) 429-3549
Fax
(303) 427-9519
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diana L. Pfankuch
Title
Business Assistant/Office Manager
Phone
(303) 429-3549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5130 W. 80TH Ave
Suite 202
Westminster, CO 80030-4447

Mailing address

5130 W. 80TH Ave
Suite 202
Westminster, CO 80030-4447
Phone (303) 429-3549

National Provider Directory

National Provider Directory

Locations

5130 W 80th Ave
Ste 202
Westminster, CO 80030
Phone (303) 429-3549

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437250552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 W. 80TH AVE",
            "address_2": "SUITE 202",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800304447",
            "telephone_number": "303-429-3549",
            "fax_number": "303-427-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 W. 80TH AVE",
            "address_2": "SUITE 202",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800304447",
            "telephone_number": "303-429-3549",
            "fax_number": "303-427-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFANKUCH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS ASSISTANT/OFFICE MANAGER",
        "authorized_official_telephone_number": "303-429-3549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.