Organization Active NPI

David Andrew Benson, DDS, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
National Provider Identifier
1467964858
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN.00203329 Issued in CO
Legal business name
DAVID ANDREW BENSON, DDS, PLLC
Practice address
6160 Tutt Blvd Ste 250
Colorado Springs, CO 80923-1500
Phone
(719) 359-8652
Fax
(719) 623-5771
NPI assigned
Oct 25, 2017
Last updated
Oct 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Dr. David Andrew Benson, DDS, MDNPI 1952578411
Title
Oral Surgeon
Phone
(318) 426-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN.00203329 CO Primary

Addresses

Primary practice location

6160 Tutt Blvd Ste 250
Colorado Springs, CO 80923-1500

Mailing address

111 Labelle LN
Shreveport, LA 71115-2964
Phone (318) 426-0379

National Provider Directory

National Provider Directory

Locations

6160 Tutt Blvd
Ste 250
Colorado Springs, CO 80923
Phone (719) 359-8652

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1467964858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LABELLE LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152964",
            "telephone_number": "318-426-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809231500",
            "telephone_number": "719-359-8652",
            "fax_number": "719-623-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ANDREW BENSON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "318-426-0379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "DEN.00203329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.