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DR. NATHANAEL BANNON D.D.S
NPI 1750757423
Dentist in Colorado Springs, CO

Active since August 18, 2015PECOS Enrolled
3208 N ACADEMY BLVD STE 140, COLORADO SPRINGS, CO 80917(719) 301-5300(719) 301-5303 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathanael Bannon D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHANAEL BANNON D.D.S (NPI 1750757423) is an individual dentist in Colorado Springs, Colorado, licensed in Colorado (00202572) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750757423
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NATHANAEL BANNONCredential: D.D.S
Location Address3208 N ACADEMY BLVD STE 140Colorado Springs, CO 80917-5111
Mailing Address3208 N Academy Blvd Ste 140Colorado Springs, CO 80917-5111 · (719) 301-5300 · Fax (719) 301-5303
Phone(719) 301-5300
Fax(719) 301-5303
Sole ProprietorNo
Enumeration DateAugust 18, 2015
✔ NPI 1750757423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · 00202572
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3208 N ACADEMY BLVD STE 140, Colorado Springs, CO 80917
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathanael Bannon D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAWN GURNSEY
Dentist
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300
DR. J. BRAEDEN ALVERSON DDS
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300
DR. JACOB ANDERSEN DMD
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300
PALMER PARK DENTISTRY, PLLC
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5303
PHILLIP DONALD ABRAMSON
Dentist
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300
PALMER PARK DENTISTRY, PLLC
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300
SUMMIT SMILES PLLC
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300
DR. BROOKE WATSON DDS
Dentist (General Practice)
3208 N ACADEMY BLVD STE 140
COLORADO SPRINGS, CO 80917
El Paso County (719) 301-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathanael Bannon's NPI number?

The NPI number for Nathanael Bannon is 1750757423. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Nathanael Bannon located?

Nathanael Bannon practices at 3208 N Academy Blvd Ste 140, Colorado Springs, CO 80917. The listed phone number is (719) 301-5300.

What is Nathanael Bannon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nathanael Bannon enrolled in Medicare?

Yes. Nathanael Bannon is registered in the Medicare PECOS enrollment system.

What insurance does Nathanael Bannon accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Nathanael Bannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathanael Bannon was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.