Active NPI
Todd Hamilton, DMD
- General Practice Dentistry
- Boulder, CO
National Provider Identifier
1093075681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 19617
- Practice address
- 3400 Arapahoe Ave
Boulder, CO 80303-1023 - Phone
- (303) 444-2129
- NPI assigned
- May 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 19617 | FL | Primary |
Addresses
Primary practice location
3400 Arapahoe Ave
Boulder, CO 80303-1023
Mailing address
3400 Arapahoe Ave
Boulder, CO 80303-1023
Phone (303) 444-2129
Other practice location 1
650 W Boynton Beach Blvd
Boynton Beach, FL 33426-3654
Phone (561) 736-1700
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19617 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Dental Patners LLP | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1093075681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031023",
"telephone_number": "303-444-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031023",
"telephone_number": "303-444-2129"
}
],
"practiceLocations": [
{
"address_1": "650 W Boynton Beach Blvd",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334263654",
"country_code": "US",
"telephone_number": "561-736-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 19617",
"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 Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.