NPIMap

Organization Active NPI

Perfect Teeth Boulder P.C.

  • General Practice Dentistry
  • Boulder, CO
National Provider Identifier
1184744096
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6097 Issued in CO
Legal business name
PERFECT TEETH BOULDER P.C.
Practice address
661 S Broadway St
Boulder, CO 80305-5926
Phone
(303) 499-9700
Fax
(303) 499-2528
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Authorized official

Name
Ms. Lauaren Hill
Title
Director, Revenue Cycle Management
Phone
(972) 930-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6097 CO Primary

Addresses

Primary practice location

661 S Broadway St
Boulder, CO 80305-5926

Mailing address

661 S Broadway St
Boulder, CO 80305-5926
Phone (303) 499-9700

Other names 1

  • Perfect Teeth Boulder P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

661 S Broadway St
Boulder, CO 80305
Phone (303) 499-9700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1184744096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055926",
            "telephone_number": "303-499-9700",
            "fax_number": "303-499-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S BROADWAY ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055926",
            "telephone_number": "303-499-9700",
            "fax_number": "303-499-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT TEETH BOULDER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LAUAREN",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "972-930-7707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Teeth Boulder P.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Teeth Boulder P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2021; 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.