Organization Active NPI

Bennett I. Machanic, MD, LLC

  • Neurology Physician
  • Denver, CO
National Provider Identifier
1578881793
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20000 Issued in CO
Legal business name
BENNETT I. MACHANIC, MD, LLC
Practice address
3955 E Exposition Ave
Suite 100
Denver, CO 80209
Phone
(720) 583-1754
Fax
(720) 941-8894
NPI assigned
May 12, 2010
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Dr. Bennett I Machanic, MDNPI 1952352593
Title
Doctor
Phone
(720) 583-1754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20000 CO Primary

Addresses

Primary practice location

3955 E Exposition Ave
Suite 100
Denver, CO 80209

Mailing address

3955 E Exposition Ave
Suite 100
Denver, CO 80209
Phone (720) 583-1754

National Provider Directory

National Provider Directory

Locations

3955 E Exposition Ave
Denver, CO 80209
Phone (303) 777-1151

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": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1578881793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "720-583-1754",
            "fax_number": "720-941-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "720-583-1754",
            "fax_number": "720-941-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT I. MACHANIC, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "MACHANIC",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "720-583-1754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "20000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.