Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallas Bogner, MD

Individual provider Family Medicine Physician · NPI 1396780144

Dallas Bogner, MD is a Family Practice in Thornton, Colorado. Qualified in 1994, 32 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
32
Licensed in
CO, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4075 E 128th Ave
Thornton, CO 80241-2201
Phone: (303) 925-4210
Fax: (303) 925-4212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 48225 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0034837 (CO)

Record details

NPI number1396780144
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025
Mailing addressPo Box 800022, Kansas City, MO 64180-0022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Thornton