Active NPI
Mark Joesph Bentele, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Colorado Springs, CO
National Provider Identifier
1679515845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9140
- Practice address
- 2575 Montebello Dr W Ste 101
Colorado Springs, CO 80918-6959 - Phone
- (719) 268-7138
- Fax
- (719) 599-5107
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9140 | CO | Primary |
Addresses
Primary practice location
2575 Montebello Dr W Ste 101
Colorado Springs, CO 80918-6959
Mailing address
2575 Montebello Dr W Ste 101
Colorado Springs, CO 80918-6959
Phone (719) 268-7138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9140 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1679515845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 MONTEBELLO DR W STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186959",
"telephone_number": "719-268-7138",
"fax_number": "719-599-5107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 MONTEBELLO DR W STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186959",
"telephone_number": "719-268-7138",
"fax_number": "719-599-5107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTELE",
"first_name": "MARK",
"middle_name": "JOESPH",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "9140",
"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 Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.