WS Boulder Rd Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

7990 Issued in CO

Legal business name

WS BOULDER RD DENTAL PC

Practice address

625 Holly Dr
Sterling, CO 80751-4539

Phone

(970) 522-5454

Fax

(970) 522-5454

NPI assigned

Sep 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel G Hill, DDS

Title

Owner

Phone

(720) 625-1968

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas A Paison, DDS PC

  • Dentist
  • Sterling, CO
  • NPI 1184844417
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1043612062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 HOLLY DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514539",
            "telephone_number": "970-522-5454",
            "fax_number": "970-522-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 HOLLY DR",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514539",
            "telephone_number": "970-522-5454",
            "fax_number": "970-522-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS BOULDER RD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-625-1968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "7990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67402577",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL DENTAL GROUP",
            "identifier": "463691741",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windsor Dermatology, PLLC
• Hilary Wisdom, AUD
• Todd L Wolfley, OD
• Women Health of Logan County, PC
• Morgan Lynn Woods
• Laura Yahn
• Amanda Nicole Yetter
• Samantha Rae Young, LAC, LPC-C

• Dentist in Sterling, CO
• Providers in Sterling, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.