Active NPI
Benjamin Paul Ricketts, DDS
- Endodontics
- Aurora, CO
National Provider Identifier
1447435359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DEN.00010273
- Practice address
- 6240 S Main St
285
Aurora, CO 80016-5376 - Phone
- (303) 627-5420
- Fax
- (303) 627-5423
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 12010975A | IN | |
| Endodontics | 1223E0200X | DEN.00010273 | CO | Primary |
| Endodontics | 1223E0200X | 12010975A | IN |
Addresses
Primary practice location
6240 S Main St
285
Aurora, CO 80016-5376
Mailing address
6240 S Main St
285
Aurora, CO 80016-5376
Phone (303) 627-5420
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00010273 | CO | MD | Endodontist |
| 12010975A | IN | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420243200000",
"number": "1447435359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 S MAIN ST",
"address_2": "285",
"city": "AURORA",
"state": "CO",
"postal_code": "800165376",
"telephone_number": "303-627-5420",
"fax_number": "303-627-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 S MAIN ST",
"address_2": "285",
"city": "AURORA",
"state": "CO",
"postal_code": "800165376",
"telephone_number": "303-627-5420",
"fax_number": "303-627-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKETTS",
"first_name": "BENJAMIN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2015-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "12010975A",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CO",
"license": "DEN.00010273",
"primary": true
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IN",
"license": "12010975A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.