Active NPI
Edward E Barrett DDS
- General Practice Dentistry
- Boulder, CO
National Provider Identifier
1063683365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 157
- Legal business name
- EDWARD E BARRETT DDS
- Practice address
- 3400 Penrose PL
Suite 104
Boulder, CO 80301 - Phone
- (303) 443-1895
- Fax
- (303) 442-2765
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward E Barrett, DDS
- Title
- Sole Proprietor
- Phone
- (303) 443-1895
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 157 | CO | Primary |
Addresses
Primary practice location
3400 Penrose PL
Suite 104
Boulder, CO 80301
Mailing address
3400 Penrose PL
Suite 104
Boulder, CO 80301
Phone (303) 443-1895
National Provider Directory
National Provider DirectoryLocations
3400 Penrose Pl
Ste 104
Boulder, CO 80301
Phone (303) 443-1895
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Boulder, CO
- NPI 1750413316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1063683365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 PENROSE PL",
"address_2": "SUITE 104",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-443-1895",
"fax_number": "303-442-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 PENROSE PL",
"address_2": "SUITE 104",
"city": "BOULDER",
"state": "CO",
"postal_code": "80301",
"telephone_number": "303-443-1895",
"fax_number": "303-442-2765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD E BARRETT DDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "303-443-1895",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.