Individual provider Active NPI

James Paul Bieneman, D.D.S.

  • Dentist
  • Centennial, CO
National Provider Identifier
1962722629
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
201891 Issued in CO
Practice address
6650 S. Vine Street
Suite 220
Centennial, CO 80121
Phone
(303) 797-0832
Fax
(303) 797-0870
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8876 KY
Dentist 122300000X 201891 CO Primary

Addresses

Primary practice location

6650 S. Vine Street
Suite 220
Centennial, CO 80121

Mailing address

771 Southpark Dr Ste 100
Littleton, CO 80120-5709
Phone (303) 797-0832

Other practice location 1

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

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
201891COMDDentist
8876KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Dental Sleep, LLC CurrentSince Dec 19, 2017 Accepting new patients
Rocky Mountain Dental Sleep, LLC Dentist CurrentSince Sep 13, 2020 Accepting new patients

Locations

7502 W 80th Ave
Ste 100
Arvada, CO 80003
Phone (303) 421-0641

771 Southpark Dr
Ste 100
Littleton, CO 80120
Phone (303) 421-0641

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1962722629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 SOUTHPARK DR STE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205709",
            "telephone_number": "303-797-0832",
            "fax_number": "303-797-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 S. VINE STREET",
            "address_2": "SUITE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80121",
            "telephone_number": "303-797-0832",
            "fax_number": "303-797-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7502 W 80th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800032139",
            "country_code": "US",
            "telephone_number": "303-421-2696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIENEMAN",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8876",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "201891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.