Individual provider Active NPI

Michael Brian Sanders, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
National Provider Identifier
1821543182
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN.00206129 Issued in CO
Practice address
415 W Rockrimmon Blvd Ste 100
Colorado Springs, CO 80919-1773
Phone
(719) 598-7700
NPI assigned
Aug 16, 2016
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9835403-9922 UT
General Practice Dentistry 1223G0001X DN015218 GA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD5086 NM
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN.00206129 CO Primary

Addresses

Primary practice location

415 W Rockrimmon Blvd Ste 100
Colorado Springs, CO 80919-1773

Mailing address

415 W Rockrimmon Blvd Ste 100
Colorado Springs, CO 80919-1773
Phone (719) 598-7700

Other practice location 1

1022 Liberty Ln
Pueblo, CO 81001-2039
Phone (208) 406-6962

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

State licenses

LicenseStateTypeSpecialty
9835403-9922UTMDDentist
DN015218GAMDGeneral Practice Dentistry
DEN.00206129COMDOrthodontics and Dentofacial Orthopedic Dentist
DD5086NMMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Orthodontics, PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Apr 13, 2025 Accepting new patients
Benning Orthodontics, PC Orthodontics and Dentofacial Orthopedics PastSince Mar 30, 2025 Accepting new patients
Derek Graff DMD LTD PastSince Nov 1, 2022 Accepting new patients

Locations

415 W Rockrimmon Blvd
Ste 100
Colorado Springs, CO 80919
Phone (719) 598-7700

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1821543182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W ROCKRIMMON BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191773",
            "telephone_number": "719-598-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROCKRIMMON BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191773",
            "telephone_number": "719-598-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 Liberty Ln",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810012039",
            "country_code": "US",
            "telephone_number": "208-406-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9835403-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015218",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD5086",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00206129",
            "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 Mar 24, 2025; 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.