Individual provider Active NPI

Benjamin Trace Keaton, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Aurora, CO
National Provider Identifier
1558935015
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
72571 Issued in CO
Practice address
10555 E Dartmouth Ave Ste 200
Aurora, CO 80014-2673
Phone
(303) 991-4651
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 72571 CO Primary

Addresses

Primary practice location

10555 E Dartmouth Ave Ste 200
Aurora, CO 80014-2673

Mailing address

10555 E Dartmouth Ave Ste 200
Aurora, CO 80014-2673
Phone (303) 991-4651

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211003792 CO Practitioner - Osteopathic Manipulative Medicine 4082108519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
West Virginia School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10555 E Dartmouth Ave
Suite 200
Aurora, CO 80014-2673
Phone (303) 991-4651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
72571COMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Osteopathic Medicine LLC Neuromusculoskeletal Medicine & Omm CurrentSince Nov 1, 2025 Accepting new patients

Locations

10555 E Dartmouth Ave
Ste 200
Aurora, CO 80014
Phone (303) 991-4651

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1558935015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 E DARTMOUTH AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142673",
            "telephone_number": "303-991-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 E DARTMOUTH AVE STE 200",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142673",
            "telephone_number": "303-991-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "BENJAMIN",
        "middle_name": "TRACE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "72571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.