Jordan Benis

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

0000442 Issued in CO

Practice address

115 N 8TH St
Canon City, CO 81212-3307

Phone

(720) 878-5848

Fax

(719) 275-8458

NPI assigned

Sep 18, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1558977157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 8TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123307",
            "telephone_number": "719-275-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 8TH ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123307",
            "telephone_number": "720-878-5848",
            "fax_number": "719-275-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIS",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "0000442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke J Beckham, MSW, LCSW
• Sonya Beechley
• Kelley E Bell
• Brittany Nicole Bellino
• Jessica Lea Bena, MS
• Caleb R Bennett
• Robert Joseph Bennett Jr., M.D.
• Robin Bangasser Bentley, FNP-C
• Amy Bergant, MSW
• Patricia L Berndt, NP

• Hearing Instrument Specialist in Canon City, CO
• Providers in Canon City, CO by specialty
• Hearing Instrument Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.