Organization Active NPI

Craniofacial Pain & Sleep Disorders Clinic

Doing business as Craniofacial Pain Center of Colorado

  • Customized Equipment (DME)
  • Arvada, CO
National Provider Identifier
1912310756
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CRANIOFACIAL PAIN & SLEEP DISORDERS CLINIC
Doing business as
Craniofacial Pain Center of Colorado
Practice address
7502 W 80TH Ave Ste 100
Arvada, CO 80003-2139
Phone
(303) 421-2696
Fax
(303) 421-2179
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Chase Alan Bennett, D.D.S.
Title
Director/Doctor
Phone
(918) 638-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

7502 W 80TH Ave Ste 100
Arvada, CO 80003-2139

Mailing address

7502 W 80TH Ave Ste 100
Arvada, CO 80003-2139
Phone (303) 421-2696

Other names 1

  • Craniofacial Pain Center of Colorado Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1912310756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 W 80TH AVE STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032139",
            "telephone_number": "303-421-2696",
            "fax_number": "303-421-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 W 80TH AVE STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032139",
            "telephone_number": "303-421-2696",
            "fax_number": "303-421-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN & SLEEP DISORDERS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CHASE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DIRECTOR/DOCTOR",
        "authorized_official_telephone_number": "918-638-3102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craniofacial Pain Center of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.