NPIMap

Organization Active NPI

Boulder Dental Center, P.C

  • Dentist
  • Boulder, CO
National Provider Identifier
1134447857
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9598 Issued in CO
Legal business name
BOULDER DENTAL CENTER, P.C
Practice address
1610 Canyon Blvd
Boulder, CO 80302-5407
Phone
(303) 442-5000
Fax
(303) 442-4396
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Danny Abboud
Title
President
Phone
(303) 442-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9598 CO Primary

Addresses

Primary practice location

1610 Canyon Blvd
Boulder, CO 80302-5407

Mailing address

1610 Canyon Blvd
Boulder, CO 80302-5407
Phone (303) 442-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1134447857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407",
            "telephone_number": "303-442-5000",
            "fax_number": "303-442-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025407",
            "telephone_number": "303-442-5000",
            "fax_number": "303-442-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER DENTAL CENTER, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "ABBOUD",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-442-5000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9598",
            "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 May 5, 2010; 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.