Individual provider Active NPI

Benjamin Sirrine

  • Dentist
  • Parker, CO
National Provider Identifier
1992321988
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00206126 Issued in CO
Practice address
17167 Cedar Gulch Pkwy Ste 104
Parker, CO 80134-4412
Phone
(303) 805-0099
Fax
(720) 851-2920
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00206126 CO Primary

Addresses

Primary practice location

17167 Cedar Gulch Pkwy Ste 104
Parker, CO 80134-4412

Mailing address

17167 Cedar Gulch Pkwy Ste 104
Parker, CO 80134-4412
Phone (303) 805-0099

Other names 1

  • Ben Sirrine Other name

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
00206126COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Sirrine DDS LLC Current Accepting new patients
Professional Dental Care of Central Colorado III PLLC PastSince Feb 7, 2021 Accepting new patients

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1992321988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 CEDAR GULCH PKWY STE 104",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344412",
            "telephone_number": "303-805-0099",
            "fax_number": "720-851-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17167 CEDAR GULCH PKWY STE 104",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344412",
            "telephone_number": "303-805-0099",
            "fax_number": "720-851-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRRINE",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00206126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "SIRRINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.