Robert Alan Boraz, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104049 Issued in CO

Practice address

18801 E Main St
Suite 150
Parker, CO 80134-3473

Phone

(303) 841-7900

Fax

(303) 841-1290

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154342541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18801 E MAIN ST",
            "address_2": "SUITE 150",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343473",
            "telephone_number": "303-841-7900",
            "fax_number": "303-841-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18801 E MAIN ST",
            "address_2": "SUITE 150",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343473",
            "telephone_number": "303-841-7900",
            "fax_number": "303-841-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAZ",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "104049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maleeka Bokhari, OD
• Bold Steps
• Kristin Dianne Bolte, APN
• Jennifer Bolton, RDN, IBCLC
• Lauren Bontempo, MS, LPC
• Kenneth James Bos, PTA
• Brynn Bosstick
• Bouquet Family Medicine
• Jean Michael Bouquet, DO
• Larry Avis Bourg, M.D.

• Pediatric Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.