Individual provider Active NPI

Benjamin Donn, DDS

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1891132585
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00201990 Issued in CO
Practice address
202 E Cheyenne Mountain Blvd Ste E
Colorado Springs, CO 80906-3769
Phone
(719) 576-6551
Fax
(719) 576-8722
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00201990 CO Primary

Addresses

Primary practice location

202 E Cheyenne Mountain Blvd Ste E
Colorado Springs, CO 80906-3769

Mailing address

202 E Cheyenne Mountain Blvd Ste E
Colorado Springs, CO 80906-3769
Phone (719) 576-6551

Other names 1

  • Dr. Benjamin Donn Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127001314 CO Order and Referring Only - DentistPractitioner - Dentist 0840518627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00201990COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Word of Mouth Dental, PC Current Accepting new patients
Benjamin T Donn DDS PC Dentist CurrentSince Jun 20, 2014 Accepting new patients

Locations

1330 W Colorado Ave
Colorado Springs, CO 80904
Phone (719) 475-7162

202 E Cheyenne Mountain Blvd
Ste E
Colorado Springs, CO 80906
Phone (719) 576-6551

Organizations & group practices 2

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1891132585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD STE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-576-6551",
            "fax_number": "719-576-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CHEYENNE MOUNTAIN BLVD STE E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063769",
            "telephone_number": "719-576-6551",
            "fax_number": "719-576-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONN",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00201990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "DONN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.