Active NPI
Kimberly Basler, RDH
- Dental Hygienist
- Boulder, CO
National Provider Identifier
1184024499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 000200825
- Practice address
- 4155 Darley Ave Ste C
Boulder, CO 80305-6536 - Phone
- (303) 499-7072
- NPI assigned
- Aug 25, 2014
- Last updated
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 000200825 | CO | Primary |
Addresses
Primary practice location
4155 Darley Ave Ste C
Boulder, CO 80305-6536
Mailing address
877 E South Boulder Rd
Louisville, CO 80027-1345
Phone (303) 665-8228
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 |
|---|---|---|---|
| 000200825 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Aid, Inc | Dental Hygienist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1184024499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 E SOUTH BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271345",
"telephone_number": "303-665-8228",
"fax_number": "303-665-8994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 DARLEY AVE STE C",
"city": "BOULDER",
"state": "CO",
"postal_code": "803056536",
"telephone_number": "303-499-7072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASLER",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "000200825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
- Thomas Base
- Baseline Healthcare Inc. (Boulder Canyon Health and Rehabilitation)
- Baseline Healthcare Inc. (Boulder Canyon Health and Rehabilitation)
- Baseline Healthcare, Inc. (Boulder Canyon Health and Rehabilitation)
- Alyssa Audrey Basile
- Aviva Lara Bass-Huh, PSY.D.
- John Todd Bass, DPT
- Elyse Bassman, NLC
- Evelyn J Bassoff, PHD
- Lori J Batcheller, LMT, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.