Robert John Benke, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105253 Issued in CO

Practice address

3705 W 12TH St Ste 3C
Greeley, CO 80634-2550

Phone

(970) 356-2120

Fax

(970) 356-1013

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert J. Benke, D.D.S., P.C.

  • Dental Clinic/Center
  • Greeley, CO
  • NPI 1629297726
  NPD Authorized official

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477556314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W 12TH ST STE 3C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342550",
            "telephone_number": "970-356-2120",
            "fax_number": "970-356-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W 12TH ST STE 3C",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342550",
            "telephone_number": "970-356-2120",
            "fax_number": "970-356-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 25th Ave",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344957",
            "country_code": "US",
            "telephone_number": "970-356-2120",
            "fax_number": "970-356-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENKE",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19753543",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052538",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Belton, MSW
• Janet Marie Beltz, FNP-C
• Benchmark Dental of Greeley, LLC
• Mary Elizabeth Bender, APRN
• Stephanie Benitez-Bravo
• Benner & Sharp Family Dentistry
• Sidney Jameson Benner, D.D.S.
• Ashley Elizabeth Bennett
• Dillon Bennett, RBT
• Kristen Mary Bennett, LCSW

• General Practice Dentistry in Greeley, CO
• Providers in Greeley, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.